كل واحد فينا عنده اساره الى ديما بيخبيها تحت الارض بيخبيها بعيد عن الناس عشان يقدر يعيش و سطيهم.يقدر يتكلم ،و يضحك ،و يتعامل ..
كل ما كترت اسرارك كل ما جدورك فى الارض زادت واتشعبت ولفت حبل مرعب حواليك عمرك ما هتحس بيه الا لو قررت تطلع فوق
The removal of a central venous catheter (CVC). This is a delicate procedure that requires precise technique to prevent serious complications. While insertion is already complex, removal carries its own set of risks, particularly air embolism, which occurs when air enters the bloodstream through the open vein, potentially leading to cardiac arrest or stroke. To prevent this, patients are often placed in a Trendelenburg position (head down), and the catheter is removed while they perform the Valsalva maneuver (holding their breath and bearing down), which increases central venous pressure and minimizes air entry. Another major concern is thrombus dislodgement, where a blood clot that has formed around the catheter tip gets released into circulation, increasing the risk of pulmonary embolism or stroke. Also, severe bleeding can occur, especially in patients with coagulation disorders or thrombocytopenia, as the CVC is often placed in large veins like the jugular, subclavian, or femoral veins, where even small punctures can lead to significant hemorrhage. Proper technique, including applying firm pressure for at least 5–10 minutes after removal and monitoring the site, is critical in preventing these potentially life-threatening complications.
وفي الطب "اللي يصعب عليك يسجنك". متعملش أي حركة عنترية بدون غطاء قانوني حتى لو دفعك ليها المريض ذاته لأن يوم ما تعك منك مش هيسمي عليك. وحتى لو ظنيت إنه سليم النية فالمحامين ولاد الحلال كتير.