Correspondence  |   August 2018
Modeling the Effects of the Locked Pack Procedure to Prevent Guidewire Retention in a Clinical Setting
Author Notes
  • TEAMHealth Anesthesia and TEAMHealth Research Institute, Tampa, Florida (E.C.). enrico_camporesi@teamhealth.com
  • (Accepted for publication May 14, 2018.)
    (Accepted for publication May 14, 2018.)×
Article Information
Correspondence
Correspondence   |   August 2018
Modeling the Effects of the Locked Pack Procedure to Prevent Guidewire Retention in a Clinical Setting
Anesthesiology 8 2018, Vol.129, 371. doi:10.1097/ALN.0000000000002308
Anesthesiology 8 2018, Vol.129, 371. doi:10.1097/ALN.0000000000002308
We read with interest the study by Mariyaselvam et al.1  regarding the use of a locked pack (which required a guidewire to be inserted and lifted to open) to prevent guidewire retention after completion of central venous catheter insertion, and we commend them for their effort and this novel technique. The introduction of a locked pack will stimulate the search for a missed guidewire and, hence, its subsequent retrieval (if still inside the catheter). This will definitely reduce the occurrence of these rare events if the cause is retention of the whole guidewire, specifically due to operator distraction. From our experience of retained guidewires at our institution, a larger percentage of these incidents were due to other technical causes, such as breakage or inability to retract the guidewire.
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