Stol ikke altid på PACS: uopdaget forglemmelse af guidewire ved anlaeggelse af centralt venekateter

1 Citationer (Scopus)

Abstract

A 74-year-old woman had a CVC inserted. Unfortunately, the guide wire was lost under the procedure, and despite a chest X-ray control it was not detected. The reason the guide wire was not identified was insufficient fine-tuning of the >local< PC monitor. We recommend regular fine-tuning of monitors used for X-ray control.

Bidragets oversatte titelDon't always rely on PACS: undetected loss of a central venous catheter guide wire
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind167
Udgave nummer41
Sider (fra-til)3891-2
Antal sider2
ISSN0041-5782
StatusUdgivet - 2005

Emneord

  • Aged
  • Catheterization, Central Venous
  • Equipment Failure
  • Female
  • Foreign Bodies
  • Humans
  • Monitoring, Physiologic
  • Radiography, Thoracic

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