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Canadian Journal of Anesthesia 52:801-804 (2005)
© Canadian Anesthesiologists' Society, 2005
General Anesthesia

Broken guide wire - a fault of design?

[Le bris d’un guide métallique - un défaut de conception ?]

Enrico Monaca, MD, Stefan Trojan, MD, John Lynch, MD, Manfred Doehn, MD and Frank Wappler, MD

From the University of Witten/Herdecke Department of Anesthesiology, Hospital Cologne-Merheim, Köln, Germany.

Address correspondence to: Dr. Enrico Monaca, Department of Anesthesiology, Hospital Cologne-Merheim, University Witten/Herdecke, Ostmerheimer Str. 200, D - 51109 Köln, Germany. Phone: 0049-221-8907-13196; Fax: 0049-221-8907-3868; E-mail: MonacaE{at}Kliniken-Koeln.de

Objectif : Présenter une complication potentiellement dangereuse du cathétérisme veineux central résultant d’un guide métallique défectueux.

Éléments cliniques : Le bris d’un guide métallique s’est produit chez un patient de 47 ans des soins intensifs. La pointe d’un guide en J est demeurée logée dans la veine jugulaire interne et la fluoroscopie a permis de la retirer, sans complication.

Conclusion : Le bris d’un guide métallique pendant l’insertion d’un cathéter veineux central a été très rarement rapporté. Mais des défauts de conception inhérents ou relevant du processus de fabrication peuvent mener à cette rare complication. Un simple test de chevet est proposé pour détecter le bris dans la partie centrale du guide métallique.




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