Batarda Sena Pedro Manuel, Das Neves Coelho Francisco, Castro Sousa Lourenço
Intensive Care Department, Hospital Central do Funchal, Funchal, PRT.
Helicopter Emergency Medical Service, Instituto Nacional de Emergencia Medica, Lisboa, PRT.
Cureus. 2024 Jan 9;16(1):e51931. doi: 10.7759/cureus.51931. eCollection 2024 Jan.
Central venous catheter (CVC) insertion is a widely practiced technique for various purposes, such as administering fluids and medications, performing hemodialysis, and monitoring central venous pressure. During CVC insertion, numerous complications can arise, including the loss of the guidewire. This case involves a 35-year-old female undergoing long-term hospitalization due to severe brain injury resulting from head trauma. She required long-term antibiotic therapy. Following the insertion of the CVC, the loss of the guidewire was noted, prompting immediate chest and abdominal X-rays, revealing its location in the inferior vena cava. The guidewire was surgically removed without any recorded complications. To mitigate such complications, it is crucial to enhance technical proficiency in insertion techniques, seek supervision during procedures, and meticulously attend to every detail of the process, adhering closely to approved protocols or guidelines.
中心静脉导管（CVC）置入术是一种广泛应用于多种目的的技术，如输注液体和药物、进行血液透析以及监测中心静脉压。在CVC置入过程中，可能会出现许多并发症，包括导丝丢失。本病例涉及一名35岁女性，因头部外伤导致严重脑损伤而长期住院。她需要长期抗生素治疗。在置入CVC后，发现导丝丢失，随即进行了胸部和腹部X线检查，显示导丝位于下腔静脉。通过手术取出导丝，未记录到任何并发症。为了减少此类并发症，提高置入技术的熟练程度、在操作过程中寻求监督并严格按照批准的方案或指南仔细关注过程的每一个细节至关重要。
