Abstract
Insertion of peripheral intravenous (I.V.)lines is a key component for almost every patient who arrives to casualty for seeking treatment. In adults, routinely 18G or 20G plastic cannula are used. Although placement of these invasive devices is seen as a benign part of the daily practice particularly by junior staff, many complications like infiltration, thrombophlebitis, venous spasm, hematoma, air embolism, cannula associated blood stream infection and nerve, tendon and ligament injury can occur. Fracture of I.V. canula inside the vein is rare. We present a case series of 2 patients who presented with such complications. A brief case series & review of literature is presented.
Keywords: Fracture intravenous canula.
References
- Singh S, Prakash J, Shukla VK, Singh LK. Intravenous catheter associated complications. J Assoc Physicians India 2010;58:194–6
- Turner DD, Sommers SC. Accidental passage of a polyethylene catheter from cubital vein to right atrium; report of a fatal case. N Engl J Med 1954; 251:744-5.
- Arun O, BaharOc,Gunduz E, Mehmet Oc, Duman A. Fracture of an intravenous cannula in the vein due to reinsertion of the guide needle: A case report. Journal-Cardiovascular Surgery 2014; 2:28-9
- Khoo PJ, Tay KL, Jamaluddin AA, Gunasaker D. Self-inflicted and iatrogenic peripheral intravenous cannula fracture: A case report. Ann Med Surg (Lond). 2018;33:44-6.
- Dondelinger, R. F., Lepoutre, B., &Kurdziel, J. C. (1991). Percutaneous vascular foreign body retrieval: Experience of an 11-year period. European Journal of Radiology, 1991; 12: 4-10
- Fisher RG, Ferreyro R. Evaluation of current techniques for nonsurgical removal of intravascular iatrogenic foreign bodies. Am J Roentgenol 1978; 130: 541–8
- Singh A, Kaur A, Singh M, Kaur S. CT Guided Removal of Iatrogenic Foreign Body: A Broken Intravenous Cannula. J Clin Diagn Res. 2015; 9:28-9.
Corresponding Author
Dr Parikh AK
Address: 15, Asha Mahal, 46B Pedder Road, Mumbai 400026, Maharashtra, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.03
