Horner's Syndrome as a Complication of Ultrasound-Guided Central Cannulation: A Case Report

Silva, L; Junqueira, AF; Pato, R; Farraposo, S; Cruz, AR; Rocha, T

http://hdl.handle.net/10400.17/4316

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Abstract(s)

Cannulation of the internal jugular vein is often necessary for the management of critically ill patients. Despite being a very common procedure and performed more and more safely, several complications still occur. Horner's Syndrome (HS) is one of those complications described before the use of ultrasound as a method of guidance. HS is caused by functional interruption of sympathetic nerve supply to the eye, leading to a classic triad of ipsilateral ptosis, miosis, and anhidrosis. We present the case of a patient, in need of emergent surgery to control the hemorrhagic focus after delivery, with a transient HS secondary to internal jugular vein cannulation under real-time ultrasound guidance.