Document Type
Journal Article
Publication Date
2-24-2015
Journal
Patient Safety in Surgery
Volume
Volume 9
Inclusive Pages
Article number 9
Abstract
We present a case of needle separation during central venous catheter (CVC) placement in a super morbidly obese patient with subsequent surgical intervention in its retrieval. This complication, potentially lethal due to the relevant anatomy of such a procedure, alerts critical care physicians and surgeons to the possibility of equipment failure and stresses proper technique in what has become a routine procedure. It also emphasizes the routine use of ultrasound-guidance for cannulation in patients of any body habitus. While infection and arrhythmia are the generally known complications of CVC placement, clinicians must be alert to unanticipated events such as needle separation. In our case, the retrieval of this needle required multi-disciplinary intervention between radiology, critical care, vascular surgery, and thoracic surgery. Our event stresses hypervigilance to complications in a common procedure.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
APA Citation
Botolin, D., Mooser, A., Stillions, D., Mortman, K., Sarin, S. et al. (2015). Needle loss in subclavian vein during central venous catheter placement: case report of a rare complication. Patient Safety in Surgery.
Peer Reviewed
1
Open Access
1
Comments
Reproduced with permission of BioMed Central. Patient Safety in Surgery.
The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.