Life long learning from a rare complication during subclavian venous cannulation
Abstract-
Placement of central venous cannulation (CVC) is generally a safe procedure but several complications like pneumothorax, arrhythmias, arterial puncture, infection and thrombosis may occur even in the experienced hands. Complications related to guide wire insertion or removal are very rare and mostly relate to expertise and knowledge of operating person. So here we report a rare but completely avoidable complication i.e. loss of guide wire inside the vein during subclavian venous cannulation which was successfully removed by surgery.
Keywords- Subclavian venous cannulation, Avoidable complication, Guide wire.
Introduction-
Although central venous catheterisation …show more content…
Several routes have been used for central venous cannulation i.e. internal juglar vein, subclavian vein and femoral vein but the subclavian approach is preferred due to its consistent landmarks, lower potential for infection or arterial injury and increased patient comfort. Clinical reporting regarding intravascular loss of guide wire is very sparse. So here we share our experience and lifelong lesson after such a rare complication.
Case Report-
A 54 year old male with diagnosis of perforation peritonits with chronic renal failure and coronary artery disease was brought to emergency department. Due to his poor peripheral venous access and for CVP guided fluid therapy, plan was made to get the central venous access. After ensuring appropriate …show more content…
To prevent this complication one simple rule should be followed i.e Guide wire should be held from tip all the time during procedure to prevent accidental slipping in or out of vessel and sedation should be given before procedure if patient’s clinical condition allows for it. At the end of procedure always check for guide wire in procedure tray and get chest X ray to rule out any
Abstract-
Placement of central venous cannulation (CVC) is generally a safe procedure but several complications like pneumothorax, arrhythmias, arterial puncture, infection and thrombosis may occur even in the experienced hands. Complications related to guide wire insertion or removal are very rare and mostly relate to expertise and knowledge of operating person. So here we report a rare but completely avoidable complication i.e. loss of guide wire inside the vein during subclavian venous cannulation which was successfully removed by surgery.
Keywords- Subclavian venous cannulation, Avoidable complication, Guide wire.
Introduction-
Although central venous catheterisation …show more content…
Several routes have been used for central venous cannulation i.e. internal juglar vein, subclavian vein and femoral vein but the subclavian approach is preferred due to its consistent landmarks, lower potential for infection or arterial injury and increased patient comfort. Clinical reporting regarding intravascular loss of guide wire is very sparse. So here we share our experience and lifelong lesson after such a rare complication.
Case Report-
A 54 year old male with diagnosis of perforation peritonits with chronic renal failure and coronary artery disease was brought to emergency department. Due to his poor peripheral venous access and for CVP guided fluid therapy, plan was made to get the central venous access. After ensuring appropriate …show more content…
To prevent this complication one simple rule should be followed i.e Guide wire should be held from tip all the time during procedure to prevent accidental slipping in or out of vessel and sedation should be given before procedure if patient’s clinical condition allows for it. At the end of procedure always check for guide wire in procedure tray and get chest X ray to rule out any