CVC catheter problems: Difference between revisions
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==Background== | |||
[[Central venous catheter]] complications vary by site. Subclavian lines are more commonly associated with pneumothorax and have a higher risk of bleeding because the site is noncompressible, whereas femoral and internal jugular lines have a higher risk of infection.<ref>Parienti JJ, Mongardon N, Mégarbane B, et al. Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med. 2015;373(13):1220–1229. doi:10.1056/NEJMoa1500964</ref> | [[Central venous catheter]] complications vary by site. Subclavian lines are more commonly associated with pneumothorax and have a higher risk of bleeding because the site is noncompressible, whereas femoral and internal jugular lines have a higher risk of infection.<ref>Parienti JJ, Mongardon N, Mégarbane B, et al. Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med. 2015;373(13):1220–1229. doi:10.1056/NEJMoa1500964</ref> | ||
==Complications== | |||
==Mechanical== | ===Mechanical=== | ||
*Arterial puncture | *Arterial puncture | ||
*Hematoma formation | *Hematoma formation | ||
*Air embolus | *[[Air embolus]] | ||
*Pneumothorax/Hemothorax | *[[Pneumothorax]]/Hemothorax | ||
*Pericardial tamponade | *[[Pericardial tamponade]] | ||
*Catheter embolus | *Catheter embolus | ||
*Dysrhythmias | *[[Dysrhythmias]] | ||
*Catheter malposition | *Catheter malposition | ||
==Infectious== | ===Infectious=== | ||
*Bacteremia | *[[Bacteremia]] | ||
*Sepsis | *[[Sepsis]] | ||
*Cellulitis at insertion site | *[[Cellulitis]] at insertion site | ||
==Thrombotic== | ===Thrombotic=== | ||
*Pulmonary | *[[Pulmonary embolism]] | ||
*Venous | *[[Venous thrombosis]] | ||
==Site-Specific== | ===Site-Specific=== | ||
*SV and IJ | |||
**[[Pneumothorax]] | |||
**[[Hemothorax]] | |||
**[[Hydrothorax]] | |||
**[[Chylothorax]] | |||
**Neck hematoma/tracheal obstruction | |||
**Endotracheal cuff perforation | |||
**Tracheal perforation | |||
**Phrenic nerve injury | |||
**Brachial plexus injury | |||
**Cerebral infarct | |||
*Femoral | |||
**Bowel perforation | |||
**[[Psoas abscess]] | |||
**Bladder perforation | |||
==External Links== | |||
* [https://pubmed.ncbi.nlm.nih.gov/26398070-intravascular-complications-of-central-venous-catheterization-by-insertion-site/ 3SITES Trial] | * [https://pubmed.ncbi.nlm.nih.gov/26398070-intravascular-complications-of-central-venous-catheterization-by-insertion-site/ 3SITES Trial] | ||
* [https://emcrit.org/emcrit/central-line-micro-skills-deliberate-practice/ EMCrit: CVC Microskills ] | * [https://emcrit.org/emcrit/central-line-micro-skills-deliberate-practice/ EMCrit: CVC Microskills ] | ||
==References== | |||
<references/> | <references/> | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Latest revision as of 14:33, 18 March 2020
Background
Central venous catheter complications vary by site. Subclavian lines are more commonly associated with pneumothorax and have a higher risk of bleeding because the site is noncompressible, whereas femoral and internal jugular lines have a higher risk of infection.[1]
Complications
Mechanical
- Arterial puncture
- Hematoma formation
- Air embolus
- Pneumothorax/Hemothorax
- Pericardial tamponade
- Catheter embolus
- Dysrhythmias
- Catheter malposition
Infectious
- Bacteremia
- Sepsis
- Cellulitis at insertion site
Thrombotic
Site-Specific
- SV and IJ
- Pneumothorax
- Hemothorax
- Hydrothorax
- Chylothorax
- Neck hematoma/tracheal obstruction
- Endotracheal cuff perforation
- Tracheal perforation
- Phrenic nerve injury
- Brachial plexus injury
- Cerebral infarct
- Femoral
- Bowel perforation
- Psoas abscess
- Bladder perforation
External Links
References
- ↑ Parienti JJ, Mongardon N, Mégarbane B, et al. Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med. 2015;373(13):1220–1229. doi:10.1056/NEJMoa1500964