scholarly journals Covid-19 and a lost guidewire: A misty tale of misery!

2021 ◽  
Vol 8 (4) ◽  
pp. 54-57
Author(s):  
Abhijit Kumar ◽  
Parul Tripathi ◽  
Suman Tiwari ◽  
Malvika Gupta ◽  
Amit Kohli ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Guide Wire ◽  
Femoral Vein ◽  
Seldinger Technique ◽  
Protective Equipment ◽  
Fluoroscopic Guidance ◽  
Routine Procedure ◽  
Central Venous ◽  
Interventional Radiologist ◽  
Venous Catheterization

 Central venous catheterization (CVC) is a routine procedure in patients admitted in Intensive Care Units (ICU) worldwide. Most commonly, seldinger technique is being practiced irrespective of the site of insertion. Though considered very safe, guide wire related complications have been reported in the literature and incidence has increased in the COVID era where intensivists have to work in personal protective equipment (PPE).  We are reporting about a patient of severe COVID-19, admitted in ICU. His right femoral venous catheterization was done to start vasopressors. The guide wire accidentally slipped inside the femoral vein during the procedure. It was immediately detected and managed with the assistance of interventional radiologist under fluoroscopic guidance. Complications like misplacement of guide wire can be catastrophic during CVC. We have discussed the measures that can prevent or reduce such complications while working in PPE in COVID ICUs.

scholarly journals A Review of Various Techniques of Central Venous Catheter Insertion

2021 ◽  
Vol 6 (3) ◽  
pp. 204-207
Author(s):  
Shallu Chaudhary ◽  
Major Amit Atwal
Keyword(s):  
Internal Jugular Vein ◽  
Central Venous Catheterization ◽  
Jugular Vein ◽  
Standard Procedure ◽  
Femoral Vein ◽  
Seldinger Technique ◽  
Axillary Vein ◽  
Central Venous ◽  
Venous Catheterization ◽  
Landmark Technique

Central venous catheterization is a standard procedure used in the resuscitation of critically ill patients. There are different routes of CVP insertion which are:- subclavian vein, internal jugular vein, axillary vein and femoral vein. Each route has its own set of complications like artery puncture, pneumothorax, nerve injury, infections. Initially catheters were inserted by the landmark technique using guidewire through the needle commonly called seldinger technique. The landmark technique is found to be associated with a higher range of mechanical complications. The use of USG however has proved to improve the success rate and decrease the complications. Keywords: Central venous catheterization, resuscitation, internal jugular vein.

Accidental guide wire migration and late percutaneous externalization after central venous catheterization

2021 ◽  
pp. 112972982110548
Author(s):  
Petra Cristina van den Bogert ◽  
Walter Junior Boim de Araujo ◽  
Viviane Gomes Milgioransa Ruggeri ◽  
Filipe Carlos Caron ◽  
Fabiano Luiz Erzinger ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Guide Wire ◽  
Femoral Vein ◽  
Invasive Procedure ◽  
Venous Catheter ◽  
Hemodynamic Instability ◽  
Central Venous ◽  
Post Discharge ◽  
Venous Catheterization ◽  
The Right

A 70-year-old man was admitted to the emergency department with recent spontaneous externalization of a metallic device from his right inner thigh. He had been experiencing mild local pain for 2 weeks and had a recent hospitalization due to cardiogenic hemodynamic instability, requiring a central venous catheter placement in his right internal jugular vein 3 months earlier. Doppler ultrasound confirmed the intravascular foreign body hypothesis as a guidewire was identified inside the right femoral vein, associated with femoropopliteal venous thrombosis. The guidewire was successfully removed percutaneously through simple manual traction guided by radioscopy. The patient was discharged the following day on oral anticoagulation with rivaroxaban. On outpatient follow-up 4 weeks post discharge, he had no complaints in the right lower limb except for slight swelling. Central venous catheterization is a common invasive procedure that, although unquestionably safe and well stablished in medical practice, can lead to serious complications when performed without proper technique.

scholarly journals Identification and correction of guide wire malposition during internal jugular cannulation with ultrasound

CJEM ◽  
2007 ◽  
Vol 9 (02) ◽  
pp. 131-132 ◽  
Author(s):  
Michael B. Stone
Keyword(s):  
Real Time ◽  
Ultrasound Guidance ◽  
Central Venous Catheterization ◽  
Guide Wire ◽  
Venous Catheter ◽  
Central Venous ◽  
Venous Catheterization ◽  
Procedural Complications ◽  
Introducer Needle ◽  
Wire Resistance

ABSTRACT Real-time ultrasound guidance for central venous catheterization increases success and reduces procedural complications. I describe a case in which guide wire resistance was encountered and real-time ultrasound visualization of the guide wire facilitated correction of guide wire malposition. No additional passes of the introducer needle were necessary and the chances of inadvertent carotid artery puncture or pneumothorax were therefore reduced. The technique described here may prove valuable when guide wire resistance is encountered while placing a central venous catheter.

Technique for Retrieval of a Knotted and Entrapped Guide Wire After Central Venous Catheterization

2013 ◽  
Vol 47 (3) ◽  
pp. 225-227 ◽  
Author(s):  
Yao Pey Yong ◽  
Said Abisi ◽  
Simon Whitaker ◽  
Bruce Braithwaite
Keyword(s):  
Central Venous Catheterization ◽  
Guide Wire ◽  
Central Venous ◽  
Venous Catheterization

J-tip guide wire entrapment within the heart during central venous catheterization

2011 ◽  
Vol 16 (3) ◽  
pp. 438-440 ◽  
Author(s):  
Seok Hui Kang ◽  
Won Kyu Park ◽  
Jun Young Do ◽  
Kyu Hyang Cho ◽  
Jong Won Park ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Guide Wire ◽  
Central Venous ◽  
Venous Catheterization
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