The incidence of retained guidewires after central venous catheterization in a tertiary care center

Omar, Hesham R.; Sprenker, Collin; Karlnoski, Rachel; Mangar, Devanand; Miller, Jordan D.; Camporesi, Enrico M.

doi:10.1016/j.ajem.2013.07.009

Cited by 18 publications

(21 citation statements)

References 12 publications

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“…With the increase in the total number of central lines that are placed in United States every year, it is reasonable to assume that the incidence of retained guide wire is also increasing. According to one study the incidence of retained guide wire was calculated to be 0.05% (9). There are multiple reasons that have been cited in medical literature for guide wires retention.…”

Section: Discussionmentioning

confidence: 99%

Lost wire? Ultrasound can find it for you!

Siddiqui

Nepal

et al. 2016

Ann. Transl. Med.

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Section: Discussionmentioning

confidence: 99%

Lost wire? Ultrasound can find it for you!

Siddiqui

Nepal

et al. 2016

Ann. Transl. Med.

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“…Bu vakaların birçoğunda kateter yerleştirilmesinin hemen ardından çekilen direk grafide kılavuz tel fark edilememiş, tekrarlanan kontrol grafileri sonrası veya hastanın semptomatik olması ile komplikasyonun farkına varılabilmiştir (10,11).İşin ilginç tarafı vakaların 1/3'ünde yapılan hata işlem sırasında fark edilmektedir. Kateter takıldıktan sonra santral venöz basınç trasesi gözlenerek veya serbest sıvı akışının yavaş olması ile durumdan şüphelenilmelidir (10,12,13). Bizim vakamızda kateter takılması sırasında kılavuz telin içeride kaldığı fark edilmiş fakat çıkartılamamış,hemen minimal cerrahi müdahale ile kılavuz tel hastaya bir zarar vermeden çıkarılmıştır.…”

Section: Olguunclassified

A Rare Complication in the ICU: Missed Central Venous Guide Wire

Altuntaş

2017

Journal of Contemporary Medicine

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: Perkutan santral venoz kateter (SVK) takilmasi yogun bakim unitesinde (YBU), acilde ve ameliyathanede hasta tedavisi icin bir gereklilik haline gelmistir. SVK takilmasi isleminde kateterin bir kilavuz tel uzerinden gonderildigi Seldinger teknigi rutin olarak kullanilmaktadir. Seldinger tekniginin diger yontemlere ustunlugu bilinmektedir ve dunya capinda tercih edilmektedir. Tecrubeli uygulayicilarda kilavuz tel kullanimi guvenli olmaktadir. Kilavuz telin SVK takilmasi sirasinda kaybolmasi hastaya ciddi zararlar verebilir, ek tetkiklere ve cikarilma islemine gereksinim duyulabilir. YBU'ne aspirasyon pnomonisi, hipoksemik solunum yetmezligi ve bilateral plevral efuzyon tanilariyla kabul edilen, Periferik damar yolu takilamamasindan dolayi SVK ihtiyaci olan, kateterizasyon islemi sirasinda kilavuz telin femoral vende kaldigi fark edilerek, kucuk cerrahi islemle cikartilan 88 yasinda kadin hasta olgusu sunulmustur.Keywords : Yogun bakim unitesi, komplikasyon, santral venoz kateterizasyon For your questions please send message to

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“…Guidewire retention is a known complication during central venous catheter (CVC) insertion when using the Seldinger technique. With over 5 million CVCs inserted annually in the United States, 1 the incidence of retained guidewires has been estimated as over 1:3000 2,3 equating to almost four a day. When guidewire retention occurs, the guidewire can migrate from the catheter lumen into the patient’s vasculature over time.…”

Section: Introductionmentioning

confidence: 99%

A bedside rescue method for retrieving retained guidewires: The ‘Suck Out’ technique

et al. 2020

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Background: Central venous catheter guidewire retention is classed as a ‘never event’ in the United Kingdom, with the potential for significant patient harm. If the retained guidewire remains within the central venous catheter lumen, bedside techniques may facilitate guidewire retrieval. However, these techniques may be ineffective if the guidewire has already passed below skin level. We investigated a novel ‘suck out’ technique for bedside guidewire retrieval and compared this against traditional retrieval methods. Methods: Simulation 1: in a benchtop model, seven different central venous catheters had their corresponding guidewire placed in the last 2 cm of the catheter tip which was immersed horizontally in fluid. A 50-mL syringe was attached to the distal lumen central venous catheter hub and suction applied for 5 s, and the distance of guidewire retraction was recorded. Simulation 2: a central venous catheter guidewire was intentionally retained within the catheter at either 5 cm above or below skin level in a pigskin model. Simple catheter withdrawal, catheter clamping withdrawal and the ‘suck out’ method were compared for efficacy using Fisher’s exact test. Results: Simulation 1: retained guidewires were retracted by 13 cm on average. Simulation 2: when guidewires were retained 5 cm above skin level, all retrieval methods were 100% effective; however, when retained 5 cm below skin level, simple catheter withdrawal was ineffective, clamping and withdrawal was only 10% effective and the ‘suck out’ technique was 90% effective (p < 0.001). Conclusion: The ‘suck out’ technique can effectively retract guidewires retained within central venous catheter lumens and demonstrates superiority over traditional methods of retained guidewire extraction in simulated models.

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The incidence of retained guidewires after central venous catheterization in a tertiary care center

Cited by 18 publications

References 12 publications

Lost wire? Ultrasound can find it for you!

Lost wire? Ultrasound can find it for you!

A Rare Complication in the ICU: Missed Central Venous Guide Wire

A bedside rescue method for retrieving retained guidewires: The ‘Suck Out’ technique

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