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采用新型 J 型瓣技术处理外周静脉中意外发生的静脉导管断裂和栓塞的管理:一项病例系列研究。

Management of accidental fracture and embolization of intravenous cannula in peripheral veins using a novel J- Flap technique: A case series.

机构信息

Department of Surgery, Plastic and Reconstructive Surgery Unit, Federal University Teaching Hospital, Owerri, Imo State, Nigeria.

Department of Surgery, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria.

出版信息

Niger J Clin Pract. 2023 Jun;26(6):832-836. doi: 10.4103/njcp.njcp_887_22.

DOI:10.4103/njcp.njcp_887_22
PMID:37470660
Abstract

The use of intravenous cannulas is a common procedure in healthcare. It's a common way of accessing the intravenous route for several purposes in patient care. Procedure is fraught with a significant risk of fracture and embolization of cannula that merits immediate intervention. There is paucity of well-defined techniques in literature for retrieval of such fractured cannulas from peripheral veins. A case series highlighting the use of a novel J-flap surgical technique in the management of fractured intravenous cannula in six (6) adult patients by the authors over a 24-month period. The intervention reduces or eliminates the risk of central embolization with its attendant severe consequences and invasive intervention. The learning curve of the technique seems gentle and does not need sophisticated surgical instrumentation.

摘要

静脉插管的使用在医疗保健中是一种常见的程序。它是在患者护理中为几个目的进入静脉途径的常用方法。该程序存在着插管骨折和栓塞的重大风险,需要立即干预。在文献中,对于从外周静脉中取出这种断裂的插管,缺乏明确的技术。作者在 24 个月的时间里对 6 名成年患者使用新型 J 瓣手术技术处理断裂的静脉插管,在此期间提出了一个病例系列。该干预措施降低或消除了中央栓塞及其严重后果和侵入性干预的风险。该技术的学习曲线似乎很平缓,不需要复杂的手术器械。

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