• Journal of Radiation Protection and Research
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• 제36권4호
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• pp.195-199
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• 2011

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.

• 한국의학물리학회지:의학물리
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• 제17권3호
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• pp.167-172
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• 2006

전산화단층촬영에서 조영 증강을 위한 조영제 주입은 정맥내에 삽입한 카테터를 통해 자동주입기로 주입하고 있다. 정맥내에 위치한 카테터를 제거하는 도중에 IV 카테터가 부러져 정맥내에 남아 있는 카테터의 조각은 환자에게 순환기 질환의 위험을 초래할 수 있다. CT 검사 중에 정맥내에 카테터 조각이 남아있는 2명의 환자를 대상으로 카테터의 크기 및 위치를 정확히 확인하기 위해 MDCT를 이용하여 정맥내 주사부위를 스캔하였다. 3D 재구성은 MPR, MIP, 볼륨렌더링, SSD 등으로 구성하였다. 정맥내에 위치한 카테터 조각을 MDCT로 스캔한 데이터를 3D 재구성으로 정맥내의 위치 및 크기를 확인하였고, 카테터 조각을 제거하는데 일조하였다.

• 한국콘텐츠학회논문지
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• 제7권4호
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• pp.206-212
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• 2007

IV(intravenous) 카데터 조각을 정맥 내에서 정확한 위치 및 크기를 확인하기위해 MDCT의 3D 재구성 기법인 볼륨렌더링의 임계치를 측정하고 변화에 따라 IV 카데터 조각의 영상을 구현하였다. 3D프로그램에서 파일럿 방법으로 IV 카데터의 HU(hounsfield unit) 값을 측정하였고, IV 카데터가 남아 있는 환자를 대상으로 프로파일과 관심영역 테이블 기능을 이용하여 IV 카데터의 HU 값을 측정하여 임계치를 설정하여 IV 카데터 조각의 위치 및 크기를 볼륨렌더링 영상에서 확인 하였다. 볼륨렌더링 영상에서 HU의 임계치 설정은 IV 카데터 조각의 정확한 위치 및 크기를 확인하는데 매우 중요한 요소이다.

• 한국임상수의학회지
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• 제39권4호
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• pp.173-176
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• 2022

Intravenous catheterization is a common procedure in human and veterinary medicine. Occasionally, a catheter might break within the blood vessel, and the fragment may cause embolization, infections, or other severe complications, and therefore must be removed promptly. For a successful and low-risk removal, the fragment should be localized accurately; however, ultrasound may be challenging to perform on small dogs due to inadequate probes. We report the case of a 2-year-old, 2.6 kg, intact female toy poodle that presented to the veterinary medical center owing to a recent onion intake; the owner requested to induce emesis. A 24 gauge peripheral intravenous catheter was inserted into the cephalic vein prior to the emetic injection. When the clinician removed the catheter, a device breakage was observed. A tourniquet was applied immediately proximal to the elbow. Ultrasonography was performed with a high-frequency small-footprint linear array transducer, also called a hockey-stick probe, to localize the fragment. An additional ultrasound was performed before surgery to confirm the location of the catheter piece, which migrated 5 cm proximally. Afterward, a surgical intervention allowed us to retrieve the fragment. This report highlights the effectiveness of a hockey-stick probe to determine the location of a catheter fragment in small breed dogs.

• 임상간호연구
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• 제22권1호
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• pp.56-67
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• 2016

Purpose: The purpose of this study was to develop an evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. Methods: The preliminary protocol of this study was developed based on domestic and foreign guidelines, research, a survey and an analysis of medical records in a university hospital. It is a methodological research to develop evidence-based nursing protocol of peripheral intravenous catheter management verified by content validity by a group of specialists and users. Results: The specialists' verification of validity in the preparatory protocol had a CVI level of 0.94 and the propriety and conveniency of users had an average of $3.0{\pm}0.52$. The final evidence-based nursing protocol was composed of 5 areas (education, dressing and fixation, maintenance and replacement, observation and record, and coping to complication) with 46 specific recommendations. Conclusion: Based on domestic and foreign research and guidelines verified by specialists and users, the findings in this study provide a simple, applicable and evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. By the clinical application of this protocol, nurse tasks in managing peripheral intravenous catheter can be performed with more scientific evidence and be standardized.

• 한국임상수의학회지
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• 제37권5호
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• pp.270-272
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• 2020

An intravenous foreign body was retrieved from a 10-year-old Maltese. A 24 gauze of fracture intravenous (IV) catheter moved into the circulation to a Maltese (3.4 kg) dog through the upper cephalic vein. Radiography was performed to observe the fracture's moving path, followed by fluid therapy. It was found in the upper cephalic vein, moved about 10 cm up to dorsal and near the proximal humerus. Retrieval surgery was performed successfully without complications. The catheter fracture retrieval sometimes remains a challenge because of unknown complications in veterinary medicine. This case report describes that a fracture IV catheter moved to the systemic vein was removed successfully by a surgery.

• Journal of Korean Neurosurgical Society
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• 제42권3호
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• pp.232-234
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• 2007

We describe the extrusion of a ventriculoperitoneal shunt catheter from the anus after double perforation of the large bowel in a 3-year-old girl with hydrocephalus. She was admitted because the tip of the peritoneal catheter protruded 10 cm from the anus and clear cerebrospinal fluid dripped from the tip. Emergency laparotomy was performed. The distal peritoneal catheter perforated and penetrated the sigmoid colon and re-perforated into the rectal cavity. The distal peritoneal catheter was removed, the proximal catheter was exposed for external drainage, and intravenous broad-spectrum antibiotics were administered for 2 weeks. After control of infection, the shunt system was completely removed. Bowel perforation by a peritoneal catheter is a rare complication. Diagnosis is often difficult, delayed, and its incidence is likely underestimated. Most bowel perforation is the result of infection as opposed to technical errors.

• 동서간호학연구지
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• 제15권1호
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• pp.18-25
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• 2009

Purpose: The study was investigated to identify the relationship between nursing workload and aseptic technique performance by clinical nurses, and to decrease the incidence rate of nosocomial infection. Methods: Participants (N=283) were recruited in B city from April to June 2007. The data were collected by a structured questionnaire and analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient. Results: Nursing workload was rated 9.85 out of a total score of 15. The level of aseptic technique performance as the basis for insertion of a Foley catheter was 42.72 out of a total score of 50, and as basis for insertion of intravenous catheter for fluid therapy was 40.11 out of a total score of 55. There was not a significant relationship between aseptic technique performance and nursing workload. There was a significant positive relationship between the aseptic technique performance in insertion of Foley catheter and that of intravenous catheter for fluid therapy (r=.279, p<.001). Conclusions: Attention to asepsis by nurses is crucial in nosocomial infection-related clinical nursing skills.

• 대한간호학회지
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• 제46권4호
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• pp.534-541
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• 2016

Purpose: The aim of this study was to identify the effect of an observation window (OW) at peripheral intravenous (IV) catheter sites on early detection of IV infiltration among hospitalized children. Methods: This was a retrospective observational study with history control group design. Participants were children who had IV infiltration after peripheral catheterization when hospitalized from January to May, 2014 and January to May, 2015 at a children's hospital located in Yangsan city, Korea. The 193 patients, who were hospitalized from January to May, 2014 formed the control group and did not have OW, and the 167 patients, who were hospitalized from January to May, 2015 formed the window group and had OW. Data were analyzed using ${\chi}^2$-test, independent samples t-test and multiple logistic regression. Results: First stage IV infiltration was 39.5% for the window group and 25.9% for the control group, which was significantly different (p=.007). The likelihood of $2^{nd}$ stage and above IV infiltration decreased by 44% in the window group, which was significantly different (p=.014). Conclusion: OW at the peripheral IV catheter site was found to be an effective measure in early recognition of IV infiltration. Considering the effect of OW, we recommend that nurses should make an OW with transparent dressing during stabilization of the IV catheter site in hospitalized children in clinical settings.

• Tuberculosis and Respiratory Diseases
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• 제61권2호
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• pp.178-183
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• 2006

61세 만성폐쇄폐질환 남자 환자로 호흡곤란을 주소로 내원하여 만성폐쇄성폐 질환 급성 악화 진단 하에 입원치료를 시작하였다. 입원치료 도중 다량의 자발성 피하공기증이 생기면서 호흡곤란이 악화되어 다수의 16 gauge 정맥용 도관 을 빗장중간선에 삽입하고 배출을 시도하였다. 그러나 피하공기증이 더욱 악화되어 wall suction으로 지속적인 흡인을 하였고 이후 피하공기증의 관해를 확인 할 수 있었다. 저자들은 16 gauge 정맥용 도관을 이용한 지속흡인으로 비침습 적이고 간편하게 피하공기증을 치료하였기에 문헌고찰과 함께 보고하는 바이다.