The role of the guide wire in central venous catheter malposition

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If we keep the J-tip of the guide wire pointing toward the direction that it should take during catheterisation, we can somewhat avoid the misplacement” Dubey (2016).

Extract:

If we keep the J-tip of the guide wire pointing toward the direction that it should take during catheterisation, we can somewhat avoid the misplacement. During guide wire insertion, it will be prudent to feel for any obstruction or change in resistance that may denote change in direction or coiling. However, it takes awareness and experience to develop this feel. A manoeuvre to prevent misplacement of subclavian CVC into ipsilateral internal jugular vein due to guide wire deflection has been described.

Full Text

Reference:

Dubey, P.K. (2016) Central venous catheter misplacement and the guidewire. Journal of Anaesthesiology, Clinical Pharmacology. 2016 Jul-Sep;32(3):406-7.

doi: 10.4103/0970-9185.173371.

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