Abstract
The central venous catheter insertion is routinely practice by almost all anesthetists. The complications associated with this procedure can at times turn into a sudden nightmare. In present day scenario the CVC insertion is aided by use of ultrasonography (USG). However, in certain situations like odd working hours, inattention, lack of expertise, hemodynamic instability, improper positioning, poor lighting etc. can lead to dreaded complications like loss of guide wire. This case was managed successfully following retrieval of guidewire percutaneously.
Keywords: Central venous catheter, guidewire, USG.
References
- Saugel B, Schreen T.W.L, Teboul J.L. Ultrasound – guided central venous catheter placement:and recommendations for clinical practice. Critical Care. 2017; 21:225.
- Ghatak .T, Azim .A, and Ghatak N. K. Accidental guide-wire loss during central venous catheterization: A report of two life-threatening cases. Indian J Crit Care Med. 2013; 17(1): 53–54.
- Seldinger SI. Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta radiol. 1953;39:368–76.
- F.A and Smalligan R.D. Guidewire-Related Complications during Central Venous
- Catheter Placement: A Case Report and Review of the LiteratureCase Reports in Critical Care. 2011; Article ID 287261.
- Anwari J.S and Imran .S. Retention of central line guide wire. Saudi J Anaesth. 2014; 8(3): 443–445.
- Pokharel . K, Biswas .B. K, Tripathi. M, Subedi. A.Missed Central Venous Guide Wires: A SystematicAnalysis of Published Case Reports. Critical Care Medicine2015; XX ( XXX).
Corresponding Author
Rajeev Chauhan MD, DM (Neuroanaesthesia)
Assistant Professor, Department of Anaesthesia, PGIMER Chandigarh-160012, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone no. 7087422950