Extensive upper limb venous thrombosis
Abstract:
Perioperative deep vein thrombosis (DVT) is a serious and increasingly common complication. While point-of-care ultrasound is commonly used in regional nerve blocks, central vascular access, and difficult peripheral vascular, access there are very few reports of DVT incidentally discovered by anesthesiologists. We report 2 cases of diagnosis of DVT that resulted from ultrasound for difficult peripheral venous access. In the course of ultrasound-guided procedures, anesthesiologists are in a position to incidentally discover DVT and potentially change management to reduce the likelihood of DVT leading to pulmonary embolism.
Reference:
Harms C, Cushman T. Two Cases of Extensive Venous Thrombosis Incidentally Discovered With Bedside Ultrasound for Intravenous Access. A A Pract. 2021 Nov 17;15(11):e01529. doi: 10.1213/XAA.0000000000001529. PMID: 34807872.