Something's Missing: Peripheral Intravenous Catheter Fracture

Glassberg, Elon; Lending, Gadi; Abbou, Benyamine; Lipsky, Ari M.

doi:10.3122/jabfm.2013.06.130097

Cited by 17 publications

(17 citation statements)

References 3 publications

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“…Fracture of the peripheral intravenous catheter/cannula (PIVC) is a well-known, underreported complication of peripheral intravenous (PIV) cannula placement [ 1 , 2 ]. Although PIV cannulation is a common invasive procedure for intravascular access, it poses complications ranging from localised reaction (e.g., thrombophlebitis) to limb and life-threatening conditions [ [1] , [2] , [3] , [4] , [5] ]. The broken cannula could be retained as an intravascular foreign body, which is usually iatrogenic [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Self-inflicted and iatrogenic peripheral intravenous cannula fracture: A case report

Khoo¹,

Tay²,

Jamaluddin³

et al. 2018

Annals of Medicine and Surgery

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IntroductionWe 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 caseIn 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.ConclusionDue 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.

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Section: Introductionmentioning

confidence: 99%

Self-inflicted and iatrogenic peripheral intravenous cannula fracture: A case report

Khoo¹,

Tay²,

Jamaluddin³

et al. 2018

Annals of Medicine and Surgery

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“…Turner et al had reported the first case of an intravascular embolization of catheter fragments in 1954 as a complication of central venous catheterization [4]. To the best our knowledge, there are two reports regarding embolism of fractured peripheral IV catheters in the literature [5,6]. Significant complications with an embolic catheter fragment include sepsis, endocarditis, cardiac perforation, and atrial or ventricular arrhythmias [7].…”

Section: Discussionmentioning

confidence: 99%

Fracture of an intravenous cannula in the vein due to reinsertion of the guide needle: A Case Report

Arun¹,

Öç²,

Gunduz³

et al. 2014

Journal-CVS

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“…[ 1 , 2 ] The former has a low incidence and is often associated with iatrogenic factors such as catheters, cannulas, and needles. [ 3 – 5 ] Non-iatrogenic intravenous FBs, including shrapnel and metallic fragments, are relatively rare emergencies. [ 6 , 7 ] To prevent adverse consequences, rapid tests, accurate diagnosis, and effective extraction of the FB via an operation are particularly important.…”

Section: Introductionmentioning

confidence: 99%