title: [Lost guide wire - lessons learned].
abstract: Central venous catheter placement is a relatively common procedure in current practice, but it is not devoid of risks. Utmost care must be taken to follow a correct technique, and only appropriately trained and/or supervised medical professionals should perform this invasive act. One of the possible complications, completely avoidable by appropriate care, is the intravascular loss of the guide wire during insertion, which is a potentially serious complication. We describe one such case.
authors.affiliation: Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal. Electronic address: daniel_r_alves@sapo.pt.
authors.forename: Daniel Rodrigues
authors.initials: DR
authors.lastname: Alves
authors.affiliation: Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal.
authors.forename: Cláudia
authors.initials: C
authors.lastname: Carvalho
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000517:prevention & control; D006801:Humans
keywords: Avaliação no pré‐operatório; Cateter venoso central; Central venous catheter; Complication; Complicação; Pre‐operative assessment