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Securing a peripheral venous line is one of the most common procedures employed in the hospital settings. Despite being an easier task and a routine practice, if not done correctly may lead to dire consequences. The present case revolves around a 40 years old male, admitted in the super specialty wing of the tertiary health care hospital & who was explored locally for the retained fragment of the peripheral venous catheter when the attending nurse while removing the venous catheter noticed its absent tail. The missing fragment was identified in cephalic vein of the left arm during the ultrasonography. Immediately after imaging, patient was shifted to minor operation theatre where the retained fragment was extracted out under local anaesthesia by doing venotomy under the supervision of a vascular surgeon. Such routine procedures constitute an important part of the health care delivery system and as such there are no specific guidelines about performing these procedures and ultimately because of the lack of the knowledge and awareness about the methodologies regarding these procedures among the junior hospital staff such mishaps may occur due to the iatrogenic or unavoidable circumstances. The present case is an ideal example about the factors & unavoidable circumstances leading to the peripheral venous catheter fracture and how such unfortunate events can be prevented. Through this case, author tend to convey the importance of guide needle during cannulation and whose reinsertion again & again during failed multiple attempts of cannulation might lead to such consequences. And proper counselling, awareness & education of the junior hospital staff including patients & their attendants about these rare devastating implications of such routine procedures and the ultimate remedies available.
Keywords:
Venotomy, Day Care Procedure, Cephalic Vein, Peripheral Intravenous Catheter, Iatrogenic Complication.
Cite Article:
"The missing tail: An iatrogenic in-situ peripheral intravenous catheter fracture", International Journal of Science & Engineering Development Research (www.ijrti.org), ISSN:2455-2631, Vol.8, Issue 3, page no.487 - 490, March-2023, Available :http://www.ijrti.org/papers/IJRTI2303085.pdf
Downloads:
000205044
ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator