| CASE REPORT |
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| Year : 2016 | Volume
: 3
| Issue : 4 | Page : 136-137 |
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Accidentally Missed Guidewire during Insertion of a Dialysis Catheter
Gentle Sunder Shrestha, Anand Thakur, Bashu Dev Parajuli, Navindra Raj Bista, Subhash Prasad Acharya
Department of Anaesthesiology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Correspondence Address:
Gentle Sunder Shrestha
Department of Anaesthesiology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu
Nepal
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-0820.191495
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Missed guidewire is a rare and potentially avoidable complication of central venous cannulation. Unsupervised insertion by trainees, distraction during insertion, and high workload may increase the risk. Simple measures such as holding onto the wire at all times until removal from the vessel, routine use of central venous catheter insertion checklist, and vigilant supervision of the trainees may help prevent missing of the guidewire.
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