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KMID : 0364920110360040195
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Journal of Radiation Protection and Research
2011 Volume.36 No. 4 p.195 ~ p.199
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AN IV CATHETER FRAGMENTS DURING MDCT SCANNING OF HUMAN ERROR: EXPERIMENTAL AND REPRODUCIBLE MICROSCOPIC MAGNIFICATION ANALYSIS
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Kwon Dae-Chul
Lee Jong-Woong
Choi Ji-Won
Yang Sung-Hwan
Dong Kyung-Rae
Chung Woon-Kwan
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Abstract
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The use of intravenous catheters are occasionally complicated by intravascular fragments and swelling of the catheter fragments. We present a patient in whom an intravenous catheter fragments was retrieved from the dorsal metacarpal vein following its incidental CT examination detection. The case of demonstrates the utility of microscopy and multi?detector CT in localizing small of subtle intravenous catheter fragments as a human error. A case of IV catheter fragments in the metacarpal vein, in which reproducible and microscopy data allowed complete localization of a missing fragments and guided surgery with respect to the optimal incision site for fragments removal. These reproducible studies may help to determine the best course of action and treatment for the patient who presents with such a case.
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KEYWORD
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3D imaging, Intravenous Catheter, Computed Tomography, Human Error
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