Template:Central line contraindications: Difference between revisions
(divided into absolute and relative, added site-specific contraindications) |
Ostermayer (talk | contribs) (Marked this version for translation) |
||
| (4 intermediate revisions by 3 users not shown) | |||
| Line 1: | Line 1: | ||
==Contraindications== | <noinclude><languages/></noinclude> | ||
===Absolute=== | <translate> | ||
==Contraindications== <!--T:1--> | |||
===Absolute<ref>Graham, A.S., et al. Central Venous Catheterization. N Engl J Med 2007;356:e21</ref>=== <!--T:2--> | |||
<!--T:3--> | |||
*Infection over the placement site | *Infection over the placement site | ||
*Anatomic obstruction (thrombosis of target vein, other anatomic variance) | *Anatomic obstruction (thrombosis of target vein, other anatomic variance) | ||
| Line 6: | Line 13: | ||
**Subclavian - trauma/fracture to ipsilateral clavicle or proximal ribs | **Subclavian - trauma/fracture to ipsilateral clavicle or proximal ribs | ||
===Relative=== | |||
*Coagulopathy (see below) | ===Relative=== <!--T:4--> | ||
<!--T:5--> | |||
*[[Special:MyLanguage/Coagulopathy|Coagulopathy]] (see below) | |||
*Distortion of landmarks by trauma or congenital anomalies | *Distortion of landmarks by trauma or congenital anomalies | ||
*Prior vessel injury or procedures | *Prior vessel injury or procedures | ||
| Line 13: | Line 23: | ||
*Uncooperative/combative patient | *Uncooperative/combative patient | ||
</translate> | |||
{{Central line with coagulopathy}} | {{Central line with coagulopathy}} | ||
<translate> | |||
</translate> | |||
Latest revision as of 16:40, 27 January 2026
Contraindications
Absolute[1]
- Infection over the placement site
- Anatomic obstruction (thrombosis of target vein, other anatomic variance)
- Site-specific
- Subclavian - trauma/fracture to ipsilateral clavicle or proximal ribs
Relative
- Coagulopathy (see below)
- Distortion of landmarks by trauma or congenital anomalies
- Prior vessel injury or procedures
- Morbid obesity
- Uncooperative/combative patient
Central line if coagulopathic
- Preferentially use a compressible site such as the femoral location (avoid the IJ and subclavian if possible, though IJ preferred over subclavian)
- No benefit to giving FFP unless artery is punctured[2]
- However, consider giving FFP if patient has hemophilia[3]
- ↑ Graham, A.S., et al. Central Venous Catheterization. N Engl J Med 2007;356:e21
- ↑ 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