Anaesthesia For Removal Of Missing Guidewire. A Case Report

A 41-year-old female was booked for guide wire removal under general anaesthesia. She was admitted through the renal unit with a diagnosis of acute renal failure secondary to sepsis. She was scheduled to undergo sessions of haemodialysis. However, the guide wire for cannulation was lost at attempt to gain vascular access for the procedure. An urgent fluoroscopy was done to localize the guide wire and she was then booked for surgery. When all conservative treatment modalities fail, a haemodialysis is indicated in patients with renal insufficiency. For the purpose of haemodialysis, a vascular access with a flow of at least 200ml/minute is needed. Like every other invasive procedure, the process of cannulation is fraught with complications which may include sepsis, kinking of guide wire or inadvertent arterial puncture. 2 Loss of the guide wire itself is rare in the literature. The anaesthesia for the surgical removal of the guide wire as an emergency in a uraemic patient is presented.