Pérdida inadvertida de un alambre-guía durante canalización de una vía venosa central.

  • Carmen María Muñoz Corchuelo MIR Anestesiología y Reanimación. Hospital Torrecárdenas de Almería.
  • Félix Gallo Pineda Hospital Torrecárdenas Almería.
  • Manuel Cortiñas Sáenz Hospital Torrecárdenas de Almería.
Palabras clave: Canalización vía venosa central, pérdida, alambre-guía, complicaciones, reacciones adversas, checklist, retenido, central line canalisation, lost, guidewire, complications, adverse reactions, hold


La cateterización venosa central (CVC) debe ser realizada por profesionales médicos capacitados y/o supervisados en caso de inexperiencia, siguiendo estrictos protocolos de actuación para prevenir incidentes. La incidencia de complicaciones es de hasta un 15%, algunas potencialmente mortales; estas pueden ser difíciles de evitar, mientras que otras se producen por errores humanos y por lo tanto son susceptibles de intervención y totalmente evitables. Presentamos el caso de una canalización de una vía central con pérdida de alambre-guía de manera inadvertida, descubierta de forma accidental en estudio de imagen por evolución tórpida en postoperatorio, así como la propuesta de un checklist para su prevención.


Central venous catheterisation (CVC) must be must be conducted by professionals who have appropriate knowledge and/or monitored if they´ re not skilled enough, according with strict guidelines in order to prevent incidents. The incidence of complications is up to 15%, some of them potentially fatal; these may be difficult to avoid, while others are due to human failure and therefore amenable to intervention and completely avoidables. A case report of unoticed canalisation of a central line losing the guidewire is presented; discovered by accident in an image test due to torpid postoperatory evolution, as well as the proposal of a checklist to its prevention.




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Cómo citar
Muñoz Corchuelo, C., Gallo Pineda, F., & Cortiñas Sáenz, M. (2018). Pérdida inadvertida de un alambre-guía durante canalización de una vía venosa central. Revista Electrónica AnestesiaR, 10(10), 3. https://doi.org/https://doi.org/10.30445/rear.v10i10.623