Femoral aline noted to be leaking profusely after pt.Supine.Dressing taken down and blood noted to be spurting from a spot in the aline catheter.Aline removed and catheter and tubing piece changed.Pt was very sick and a 3rd pressor was being initiated.We had to use nibp for pressor titration which was suboptimal.A-line tubing taken to risk.Unsure if line was punctured when being placed by md.Patient was being prone and supine.If line was punctured with suture while placing it may not have been noticed initially but with turning, wonder if it pulled out a little and then leak was seen.This was a femoral line and it was very difficult to place.They were unable to place a radial, so femoral done with much difficulty.Fda safety report id # (b)(4).
|