Lost Venous Access Guidewire Identified by Its Late Cervical Protrusion: Case Report. Issue 2 (14th February 2022)

• Record Type: Journal Article
• Authors: Asailan, Ahmad; De Queiroz Siqueira, Mathilde; Bouvet, Lionel; Chassard, Dominique
• Is Part Of: A & A practice. Volume 16:Issue 2(2022)
• Page Start: e01565
• Publication Date: 2022-02-14
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001565
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : We report a pediatric patient who underwent a central venous catheter (CVC) insertion and presented with a sudden protrusion of a guidewire from the neck 26 months later. The guidewire was extracted via femoral venotomy. A 5-cm portion of the guidewire adhering to the superior vena cava wall was left in place. We recommend always using a CVC checklist, inspecting the guidewire before and after insertion, and carefully examining the postinsertion radiographs. This checklist should be mandatory with every CVC insertion, including the perioperative period.