Self-inflicted and iatrogenic peripheral intravenous cannula fracture: A case report
| Autor: | Phong Jhiew Khoo, Atiqah Al-Aqilah Jamaluddin, Ken Leong Tay, Durkahshinii Gunasaker |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Peripheral intravenous Peripheral intravenous cannula Operating procedures 030230 surgery Intravascular foreign body 03 medical and health sciences 0302 clinical medicine Case report medicine 030212 general & internal medicine Radiological imaging business.industry General Medicine medicine.disease Cannula Surgery Catheter Fractured catheter Iatrogenic Presentation (obstetrics) Foreign body Complication business Self-infliction |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Introduction We present a case of broken peripheral intravenous catheter/cannula (PIVC), a well-known, underreported complication of PIVC placement. The fractured cannula could have resulted in intravascular foreign body retention, which is usually iatrogenic. Presentation of case In this case, we conceded that both iatrogenic and self-infliction were culpable. The intoxicated, aggressive patient forcefully removed the inserted cannula after repeated attempts by medical personnel to place it. The same cannula was used for multiple attempts. After the location of the fractured catheter was reconfirmed with radiological imaging, venotomy and removal of the foreign body were performed. Conclusion Due to potentially devastating consequences, early detection, adherence to standard operating procedures for peripheral venous access, management of aggressive patients, and meticulous teamwork must be upheld. Highlights • Causes of peripheral intravenous cannula fracture are iatrogenic and self-infliction. • Clinical and radiological examinations identified the cannula location. • Venotomy was performed to remove the retained cannula. |
| Databáze: | OpenAIRE |
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