An unexpected image on a chest radiograph
| Autor: | Zerrin Pulathan, Ahmet Coşkun Özdemir, Gökalp Altun, Hasan Mutlu, Doğuş Hemşinli |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Catheterization Central Venous medicine.medical_specialty medicine.medical_treatment Iatrogenic Disease 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Device Removal Aged Neck Pain Catheter insertion medicine.diagnostic_test business.industry Incidence (epidemiology) General surgery 030208 emergency & critical care medicine General Medicine Foreign Bodies medicine.disease Parenteral nutrition Practice Guidelines as Topic Pancreatitis Radiography Thoracic Clinical Competence Guideline Adherence Jugular Veins Ultrasonography Chest radiograph business Complication Central venous catheter |
| Zdroj: | Scottish Medical Journal. 62:156-158 |
| ISSN: | 2045-6441 0036-9330 |
| DOI: | 10.1177/0036933017699505 |
| Popis: | Introduction Central venous catheterisation is an essential component of patient care in hospital. A forgotten complete guide-wire is a rare complication, although the reported incidence has increased rapidly over the last decade. Case report We report a 72-year-old man with a complete guide-wire inadvertently overlooked during catheter insertion. A central venous catheter had been inserted for total parental nutrition during treatment for pancreatitis. Five years later, the patient was readmitted with a painful lesion on his neck and the sensation of a sharp object under his skin. He was discharged without complication following removal of the free part of the guide-wire that had not become attached to the endothelial layer. Conclusion Inattention, inexperience and lack of supervision by a more experienced clinician are considered the most important contributing factors to this complication. Ultrasonography assistance during the procedure, senior supervision, a set count and a chest X-ray after the procedure are recommended in order to prevent forgotten guide-wires. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|