Sunday, June 28, 2009

CME (28/06/09)

Today's afternoon mortality discussion was about a 57 year old woman with diagnosis of ESRF admitted electively for IJC insertion. She was well and asymptomatic. Right IJC was inserted on the next morning (after procedure explanation given and consent taken). However, she started to have problems in the evening. Noted to have bleeding from the site of insertion, which was associated with compressive symptoms of the airway, and during that time already in DIVC state. She was then referred to ICU team, but despite proper active management, she succumbed to death few hours later.

The issues that we learned today were :-

1. Safe procedures - sometimes can be dangerous
2. Early recognition of signs and symptoms of any complications of medical procedures
3. Stress on proper and adequate resuscitation management
4. Good medical procedure i.e skill - practice made perfect

This video shows the procedure of Internal Jugular Vein Catheterization. Let's learn.......


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