Journal article
Retained Guidewires After Intraoperative Placement of Central Venous Catheters
Anesthesia and analgesia, Vol.117(1), pp.102-108
07/01/2013
DOI: 10.1213/ANE.0b013e3182599179
PMID: 22669345
Abstract
Guidewire retention is a rare complication of central venous catheter placement, and has been related to operator fatigue, inexperience, and inattention, and inadequate supervision of trainees. The true incidence of guidewire loss after intraoperative placement of central venous catheters is unknown. We report 4 cases of guidewire loss after central venous access procedures performed by anesthesia providers in the operating room. Worsening of patients' clinical condition during catheter placement and complex procedures necessitating more than one guidewire insertion are recurring scenarios in cases involving guidewire loss. Over 6 years at our institution, intraoperative wire loss occurred at a rate of 1:3291 procedures (95% confidence interval of 1/10,000 to 8/10,000).
Details
- Title: Subtitle
- Retained Guidewires After Intraoperative Placement of Central Venous Catheters
- Creators
- Andrea Vannucci - Washington Univ, Dept Anesthesiol, St Louis, MO 63110 USAAlicia Jeffcoat - Washington Univ, Dept Anesthesiol, St Louis, MO 63110 USACatherine Ifune - Washington Univ, Dept Anesthesiol, St Louis, MO 63110 USAChristian Salinas - Washington Univ, Sch Med, St Louis, MO 63110 USAJames R. Duncan - Washington University in St. LouisMichael Wall - Washington Univ, Dept Anesthesiol, St Louis, MO 63110 USA
- Resource Type
- Journal article
- Publication Details
- Anesthesia and analgesia, Vol.117(1), pp.102-108
- DOI
- 10.1213/ANE.0b013e3182599179
- PMID
- 22669345
- NLM abbreviation
- Anesth Analg
- ISSN
- 0003-2999
- eISSN
- 1526-7598
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Language
- English
- Date published
- 07/01/2013
- Academic Unit
- Anesthesia
- Record Identifier
- 9984656595402771
Metrics
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