Management of Accidental Fracture and Embolization of Intravenous Cannula in Peripheral Veins using a Novel J‑ Flap Technique: A Case Series

Abstract

The use of intravenous cannulas is a common procedure in healthcare. It’s a common way of accessing the intravenous route for several  purposes in patient care. Procedure is fraught with a significant risk of fracture and embolization of cannula that merits immediate  intervention. There is paucity of well‑defined techniques in literature for retrieval of such fractured cannulas from peripheral veins. A case  series highlighting the use of a novel J‑flap surgical technique in the management of fractured intravenous cannula in six (6) adult  patients by the authors over a 24-month period. The intervention reduces or eliminates the risk of central embolization with its attendant  severe consequences and invasive intervention. The learning curve of the technique seems gentle and does not need sophisticated  surgical instrumentation.