Knot formation of a metallic guide ifire: A mechanical complication of central venous catheterization
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2010
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info:eu-repo/semantics/openAccess
Özet
Abstract:Santral venoz kateterizasyon perioperatif bakımın köşe taşıdır ve bununla birlikte hemodiyaliz için de güvenilir bir yoldur. İnvazif doğasından dolayı komplikasyon oranı %5’ den %29’a kadar varabilmektedir ve mekanik komplikasyonlar birçok faktörle ilişkilidir. Burada 58 yaşında erkek bir hastada akut renal yetersizlik nedeniyle internal juguler vene kateter yerleştirilen ancak cilt altı dokuda ven lümeninden önce kılavuz telin düğüm olduğu bir olgu sunulmaktadır. Düğüm platisma liflerinin arasında bulundu ve bu noktada kılavuz teli geri çekmek mümkün oldu. Vene hafifçe kompresyon yapılarak kanama kontrolu sağlandı ve ertesi gün hasta sorunsuz şekilde taburcu edildi. Venöz kateterizasyon basit bir işlem olmasına rağmen maksimal dikkat, tecrübe ve uygun koşullar gerektirmektedir.
Abstract:Central venous catheter is a cornerstone of perioperative care and also a reliable way for hemodialysis. Due to its invasive nature complication rate can be as high as 5 to 29% and several factors have been associated with mechanical complications. Herein, we present a 58-year-old male with acute renal failure who underwent internal jugular vein catheter placement for hemodialysis, however, in this knot formation of the guide wire in the subcutaneous tissue before entering the vein lumen occurred. The knot formation was found between platysma fibers and the wire retraction was possible at this point. After a slight compression of the vein, bleeding control was performed and the day after the patient was discharged uneventfully. Although venous catheterization is a simple procedure, it requires maximal care, experience and suitable conditions.
Abstract:Central venous catheter is a cornerstone of perioperative care and also a reliable way for hemodialysis. Due to its invasive nature complication rate can be as high as 5 to 29% and several factors have been associated with mechanical complications. Herein, we present a 58-year-old male with acute renal failure who underwent internal jugular vein catheter placement for hemodialysis, however, in this knot formation of the guide wire in the subcutaneous tissue before entering the vein lumen occurred. The knot formation was found between platysma fibers and the wire retraction was possible at this point. After a slight compression of the vein, bleeding control was performed and the day after the patient was discharged uneventfully. Although venous catheterization is a simple procedure, it requires maximal care, experience and suitable conditions.
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İnönü Üniversitesi Tıp Fakültesi Dergisi
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JAHOLLARI A,GÜNAY C,GÜLER A,ŞAHİN M. A,YOKUŞOĞLU M (2010). Knot formation of a metallic guide ifire: A mechanical complication of central venous catheterization. İnönü Üniversitesi Tıp Fakültesi Dergisi, 17(2), 121 - 122.
