Template:Central line contraindications

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Contraindications

  • Infection over the placement site
  • Distortion of landmarks by trauma or congenital anomalies (including c-collar)
  • Pathologic conditions, including SVC syndrome
  • Current venous thrombosis in target vessel
  • Prior vessel injury or procedures
  • Morbid obesity
  • Uncooperative patient

Central line if coagulopathic

  • Preferentially use a compressible site such as the femoral location (avoid the IJ and subclavian if possible)
  • No benefit to giving FFP unless artery is punctured[1]
  • Fisher NC, Mutimer DJ. Central venous cannulation in patients with liver disease and coagulopathy—a prospective audit. Intens Care Med 1999; 25:5
  • Morado M.et al. Complications of central venous catheters in patients with haemophilia and inhibitors. Haemophilia 2001; 7:551–556