Temporary vocal cord paralysis following hemodialysis catheter placement

MURT A., DİNÇER M. T., Karaca C., TRABULUS S., ALTIPARMAK M. R., SEYAHİ N.

Hemodialysis International, vol.24, no.2, 2020 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 24 Issue: 2
  • Publication Date: 2020
  • Doi Number: 10.1111/hdi.12800
  • Journal Name: Hemodialysis International
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, EMBASE, MEDLINE
  • Keywords: catheter, hemodialysis, hoarseness, local anesthetics, side effects, vocal cord paralysis
  • Van Yüzüncü Yıl University Affiliated: No

Abstract

We report a case of temporary right vocal cord paralysis manifesting as hoarseness after hemodialysis, beginning several hours after placement of a non-cuffed hemodialysis catheter into the right internal jugular vein using prilocaine local anesthesia. Diagnosis of right vocal cord paralysis was confirmed by laryngoscopy. Hoarseness completely resolved that same day, and subsequent laryngoscopy showed normal vocal cord movement, suggesting that the most likely cause of the initial vocal cord paralysis was diffusion of the local anesthetic agent injected during catheter insertion.