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Something's missing: peripheral intravenous catheter fracture
Elon Glassberg1, Gadi Lending, Benyamine Abbou
1the Trauma and Combat Medicine Branch, Medical Corps, Surgeon General's Headquarters, Israel Defense Forces, Ramat Gan, Israel; and the Navy, Israel Defense Forces, Haifa Israel.
Journal of the American Board of Family Medicine : JABFM
|November 9, 2013
Summary
Peripheral intravenous catheter fracture is rare but serious. Prompt tourniquet use and surgical removal can prevent complications like embolism, highlighting the need for provider awareness and training.
Area of Science:
- Medical Case Report
- Vascular Surgery
- Emergency Medicine
Background:
- Peripheral intravenous catheters are common medical devices.
- Catheter fracture is a rare but potentially serious complication.
- Early recognition and management are crucial to prevent adverse outcomes.
Observation:
- A case of peripheral intravenous catheter fracture occurred during a military training exercise.
- The fractured segment migrated into the median cubital vein.
- Ultrasonography identified the retained catheter segment.
Findings:
- Catheter fracture was likely caused by needle reinsertion into the advanced catheter.
- Venous tourniquet application proximal to the insertion site may prevent distal embolism.
- Surgical removal via venous cutdown successfully retrieved the fractured segment.
Implications:
- Peripheral intravenous catheter fracture is likely underreported in medical literature.
- Healthcare providers must be aware of this complication and its preventive measures.
- Education on proper insertion techniques and immediate management protocols is essential for medical personnel.
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