Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2015.03.013
Brazilian Journal of Anesthesiology
Clinical Information

Lost guide wire – lessons learned

Fio-guia perdido – lições aprendidas

Daniel Rodrigues Alves; Cláudia Carvalho

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Abstract

Abstract Central venous catheter placement is a relatively common procedure in current practice, but it is not devoid of risks. Utmost care must be taken to follow a correct technique, and only appropriately trained and/or supervised medical professionals should perform this invasive act. One of the possible complications, completely avoidable by appropriate care, is the intravascular loss of the guide wire during insertion, which is a potentially serious complication. We describe one such case.

Keywords

Central venous catheter, Complication, Pre-operative assessment

Resumo

Resumo A colocação de cateter venoso central é um procedimento relativamente comum na prática atual, mas não é isenta de riscos. O máximo de cuidado deve ser tomado para seguir a técnica correta e somente profissionais da área médica devidamente treinados e/ou supervisionados devem fazer esse ato invasivo. Uma das muitas complicações possíveis, totalmente evitável com os cuidados adequados, é a perda intravascular do fio-guia durante a inserção, o que é uma complicação potencialmente grave. Descrevemos um desses casos.

Palavras-chave

Cateter venoso central, Complicação, Avaliação no pré-operatório

References

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