While more than 5 million central venous catheters are placed in the United States yearly, 2 intravascular loss of complete guidewires represents a rare and serious complication that is preventable with standardized insertion technique and adequate trainee supervision. 1 The patient did not suffer any complications from the retained guidewire, and the error was disclosed to the patient. This “inattentional blindness,” in which an unexpected visual finding is overlooked when focusing on a different task, was a substantial contributor to this medical error. Hickman Triple Lumen Catheter Hohn Double Lumen Catheter Groshong. Life-threatening mediastinal hematoma caused by extravascular infusion through a triple-lumen central venous catheter. 2) obtained between TLC insertion and guidewire retrieval. The type of catheter you will receive is marked below. Hohlrieder M, Oberhammer R, Lorenz IH, Margreiter J, Kuhbacher G, Keller C. 1, online video) and multiple chest radiographs (Fig. On retrospective review of imaging, the guidewire can be seen on an echocardiogram (Fig. This was determined to be the guidewire from the prior femoral TLC placement. Fourteen days later, interventional radiology retrieved an “extra wire” via the right internal jugular vein at the time of hemodialysis catheter insertion. After the induction of general anesthesia, a triple-lumen catheter (Arrow-Howes Multilumen Catheter, Arrow International, Reading, PA) was atraumatically. A left femoral triple lumen catheter (TLC) was inserted by an internal medicine resident with attending supervision. A 30-year-old male with type 1 diabetes mellitus presented with diabetic ketoacidosis, acute kidney injury, and respiratory failure requiring emergent venous access and intubation.
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