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Royster Roger L. MD; Johnston, William E. MD; Gravlee, Glenn P. MD; Brauer, Stanley MD; Richards, Dan MD
Anesthesia & Analgesia: December 1985

Previous reports of arrhythmias during pulmonary artery (PA) catheter insertion have not directly assessed the incidence of arrhythmias occurring during the cannulation of the venous system using a flexible guidewire, vessel dilator, and catheter sheath introducer system (1,2). We report a case of a life-threatening ventricular arrhythmia occurring during insertion of a guidewire through the right inteRNal jugular vein, and a prospective clinical study prompted by that case to determine the incidence of arrhythmias during right inteRNal jugular vein cannulation prior to pulmonary artery catheterization.

Address correspondence to Dr. Royster, Department of Anesthesia, Bowman Gray School of Medicine, 300 S. HawthoRNe Road, Winston-Salem, NC 27103.

© 1985 International Anesthesia Research Society