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Patient Safety

Tutorial 498

Management of Accidental Intra-Arterial Injections

Dr Andrew McCallum1†, Dr David Reid2

1Anaesthetic Registrar, Queen Elizabeth University Hospital, Glasgow, UK
2Consultant Anaesthetist, Golden Jubilee National Hospital, Clydebank, UK

Edited by: Dr Amanda Milligan, Consultant Anaesthetist, Glasgow Royal Infirmary, UK;
Dr Sally El-Ghazali, Consultant Anaesthetist and Intensive Care Physician, Northwick
Park, UK
†Corresponding author email: andrew.mccallum4@nhs.scot

Published May 30, 2023

Abstract

This tutorial describes the current evidence surrounding accidental intra-arterial injection of drugs. It examines the aetiology, pathophysiology and management of such events as well as considering steps which can be taken to prevent its occurrence.