Starting out - Difficult placement taught me how to challenge prejudice in practice

2016 ◽  
Vol 30 (23) ◽  
pp. 29-29
Author(s):  
David Donovan
Keyword(s):  
Difficult Placement

Plazierung eines Pulmonaliskatheters über eine bis dahin unbekannte persistierende Vena cava superior sinistra

VASA ◽  
1999 ◽  
Vol 28 (1) ◽  
pp. 53-54 ◽  
Author(s):  
Stoiser ◽  
Vorbeck ◽  
Kofler ◽  
Locker ◽  
Burgmann
Keyword(s):  
Superior Vena ◽  
Central Venous Access ◽  
Vena Cava ◽  
Venous Access ◽  
Yield Potential ◽  
Clinical Complications ◽  
Vena Cava Superior ◽  
Left Subclavian Vein ◽  
Chest X Ray ◽  
Difficult Placement

This case report describes a patient with persistent left superior vena cava (LSVC) as discovered by difficult placement of a pulmonary artery catheter via the left subclavian vein. After positioning in wedge position, chest x-ray showed a catheter route suggestive of persistent LSVC. Since this abnormality may yield potential clinical complications, this possibility should be considered in every difficult central venous access.

scholarly journals Essure Surgical Removal and Subsequent Resolution of Chronic Pelvic Pain: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Isamarie Lora Alcantara ◽  
Shadi Rezai ◽  
Catherine Kirby ◽  
Annika Chadee ◽  
Cassandra E. Henderson ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Late Onset ◽  
Careful Examination ◽  
Surgical Removal ◽  
Tubal Occlusion ◽  
Patient Reported ◽  
Permanent Contraception ◽  
Laparoscopic Removal ◽  
Difficult Placement

Background. Hysteroscopic tubal sterilization (Essure) is a minimally invasive option for permanent contraception with high reported rates of patient satisfaction. A small percentage of these women subsequently choose to have the tubal inserts removed due to regret or perceived side effects such as late-onset pelvic pain secondary to placement of the Essure device.Case. A twenty-nine-year-old woman G4P4014 presented with a two-year complaint of chronic pelvic pain and dyspareunia after the hysteroscopic placement of an Essure device for sterilization. On reviewing the images of the HSG, it was noted that although tubal occlusion was confirmed, the left Essure coil appeared curved on itself in an elliptical fashion and did not seem to follow the expected anatomic trajectory of the fallopian tube. The patient reported resolution of chronic pelvic pain following laparoscopic removal of Essure device.Conclusion. A misplaced Essure device should be considered in the differential diagnosis of chronic pelvic pain in women who had difficult placement of the device. In addition to demonstrating tubal occlusion, careful examination of the configuration of the Essure microinserts on HSG examination provides valuable information in patients with pelvic pain after Essure placement.

Turn a difficult placement into a personal challenge

2002 ◽  
Vol 16 (36) ◽  
pp. 30-30
Author(s):  
Pamela Wilson
Keyword(s):  
Difficult Placement

scholarly journals Case Report: Using ultrasound to prevent a broken catheter from migrating to the heart.

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 616
Author(s):  
Pieter J. Schraverus ◽  
Suzanne van Rijswijk ◽  
Pieter Roel Tuinman
Keyword(s):  
Case Report ◽  
Ultrasound Examination ◽  
Upstream Migration ◽  
Difficult Placement

Peripheral intravenous (IV) catheters can break off while still in the patient, with possible detrimental effects such as upstream migration to the heart. These catheters have probably been damaged by the needle during a difficult insertion. A peripheral IV catheter was removed in a 90 year old patient and only half of the catheter was retrieved. By using ultrasound examination the remaining part of the IV catheter was identified, and retrieved surgically, before it could migrate towards the heart. This case report suggests that ultrasound should not only be used for difficult placement of a peripheral IV catheter, but can also be used when removal is complicated.

scholarly journals Rolling Out Behavioral Recovery Outreach (BRO) Teams: Perspectives From an Inaugural Partner Site

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 46-47
Author(s):  
Trisha Gaudig
Keyword(s):  
Community Outreach ◽  
Team Development ◽  
Successful Implementation ◽  
Community Settings ◽  
Psychosocial Needs ◽  
Short Term ◽  
Behavioral Recovery ◽  
Local Leadership ◽  
Leadership Support ◽  
Difficult Placement

Abstract The Sioux Falls VA Community Living Center (CLC) is a partner site for the Behavioral Recovery Outreach (BRO) Team dissemination. This CLC is home to over 55 Veterans requiring a variety of specialty needs such as dementia care, short-term rehabilitation, respite, hospice, and/or psychosocial needs. Many of the Veterans followed by the BRO Team on the CLC experienced frequent rehospitalizations and difficult placement in the community due to behavioral concerns. Local leadership encouraged participation in the BRO Team dissemination due to the growing need in this VA system to open access to dementia and mental health care, successfully discharge Veterans to appropriate community settings, and reduce unnecessary rehospitalizations. This presentation will discuss BRO Team development, including several factors facilitating successful BRO Team implementation (e.g., leadership support, community outreach approaches, staff partner buy-in), and identify barriers impacting successful implementation with a case example to illustrate strategies to overcome such barriers.

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