CVC catheter problems: Difference between revisions
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*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 | *SV and IJ | ||
**Pneumothorax | **[[Pneumothorax]] | ||
**Hemothorax | **[[Hemothorax]] | ||
**Hydrothorax | **[[Hydrothorax]] | ||
**Chylothorax | **[[Chylothorax]] | ||
**Neck hematoma/tracheal obstruction | **Neck hematoma/tracheal obstruction | ||
**Endotracheal cuff perforation | **Endotracheal cuff perforation | ||
| Line 38: | Line 38: | ||
*Femoral | *Femoral | ||
**Bowel perforation | **Bowel perforation | ||
**Psoas abscess | **[[Psoas abscess]] | ||
**Bladder perforation | **Bladder perforation | ||
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