Unnoticed loss of a guide wire during central venous line conduit
DOI:
https://doi.org/10.30445/rear.v10i10.623Keywords:
hold, adverse reactions, complications, guidewire, lost, central line canalisation, checklistAbstract
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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