A Continuous Subcutaneous Insulin Infusion Needle Break

George, Minu; Ruiz-Elizalde, Alejandro; Beck, Joni

doi:10.2337/diaclin.33.4.195

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…There are published case reports of retained spinal needle fragments in the anesthesia literature, [1][2][3][4] and there are reports of diabetic patients with retained needle fragments from insulin injections. 5,6 Our case reports a patient who had a retained needle fragment in subcutaneous tissue who subsequently underwent spinal anesthesia and then assumed the supine position for a cesarean delivery before removal. To our knowledge, no other case report describes a patient who assumed the supine position for a surgical procedure with a retained needle fragment in the subcutaneous tissue of the lumbar spine (Table ).…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of a Retained Local Anesthetic Needle Fragment in a Patient Who Underwent Scheduled Elective Cesarean Delivery: A Case Report

Black

Wright²,

Birkholtz

et al. 2021

A&A Practice

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Cesarean deliveries are often performed with a neuraxial anesthetic technique. Fracture of needles used for local anesthetic infiltration is rare. During subcutaneous infiltration of local anesthetic for a combined spinal epidural (CSE) anesthetic technique performed for elective cesarean delivery, a fragment from a fractured 27-gauge local anesthetic needle was retained in the lumbar subcutaneous tissue. CSE anesthesia was then successfully performed at a different spinal interspace, and the patient had an uneventful cesarean delivery. The patient had the needle fragment removed on the first postoperative day by an interventional radiologist who used fluoroscopy to identify the needle location.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of a Retained Local Anesthetic Needle Fragment in a Patient Who Underwent Scheduled Elective Cesarean Delivery: A Case Report

Black

Wright²,

Birkholtz

et al. 2021

A&A Practice

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“…To our knowledge, this is the first description of retrieving percutaneously introduced glucose sensor wires from the peritoneal cavity. With regard to other diabetes technology, there are reports of subcutaneous (not intraperitoneal) needle detachment from steel insulin infusion sets, removed uneventfully under fluoroscopy . Most foreign objects retrieved from the abdominal cavity arrive there after ingestion and transluminal penetration .…”

Section: Discussionmentioning

confidence: 99%

“…With regard to other diabetes technology, there are reports of subcutaneous (not intraperitoneal) needle detachment from steel insulin infusion sets, removed uneventfully under fluoroscopy. 5,6 Most foreign objects retrieved from the abdominal cavity arrive there after ingestion and transluminal penetration. [7][8][9] These were almost always removed with laparoscopy or endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Fluoroscopic‐assisted laparoscopic retrieval of retained glucose sensor wire from the omentum

Sang

Lal

August

et al. 2019

Clinical Case Reports

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“… To minimize infusion site adverse events and potential metabolic deterioration, CSII cannula should be changed every 48–72 h (A1)[ 177 178 ] Patients should be taught to rotate infusion site (A1). [ 162 179 ] …”

Section: Nsulin P Ump T mentioning

confidence: 99%

“…To minimize infusion site adverse events and potential metabolic deterioration, CSII cannula should be changed every 48–72 h (A1)[ 177 178 ]…”

Section: Nsulin P Ump T mentioning

confidence: 99%

Forum for injection technique and therapy expert recommendations, India: The Indian recommendations for best practice in insulin injection technique, 2017

Tandon

Kalra

Balhara

et al. 2017

Indian J Endocr Metab

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Health-care professionals in India frequently manage injection or infusion therapies in persons with diabetes (PWD). Patients taking insulin should know the importance of proper needle size, correct injection process, complication avoidance, and all other aspects of injection technique from the first visit onward. To assist health-care practitioners in their clinical practice, Forum for Injection Technique and Therapy Expert Recommendations, India, has updated the practical advice and made it more comprehensive evidence-based best practice information. Adherence to these updated recommendations, learning, and translating them into clinical practice should lead to effective therapies, improved outcomes, and lower costs for PWD.

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A Continuous Subcutaneous Insulin Infusion Needle Break

Cited by 7 publications

References 7 publications

Diagnosis and Management of a Retained Local Anesthetic Needle Fragment in a Patient Who Underwent Scheduled Elective Cesarean Delivery: A Case Report

Diagnosis and Management of a Retained Local Anesthetic Needle Fragment in a Patient Who Underwent Scheduled Elective Cesarean Delivery: A Case Report

Fluoroscopic‐assisted laparoscopic retrieval of retained glucose sensor wire from the omentum

Forum for injection technique and therapy expert recommendations, India: The Indian recommendations for best practice in insulin injection technique, 2017

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