CVC catheter problems: Difference between revisions

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===Complications===
===Complications===
* Pneumothorax (more common with subclavian)
==Mechanical==
* Arterial puncture (more common with femoral)
*Arterial puncture
* Catheter malposition
*Hematoma formation
* Subcutaneous hematoma
*Air embolus
* Hemothorax
*Pneumothorax/Hemothorax
* Catheter related infection (historically more with femoral)
*Pericardial tamponade
* Catheter induced thrombosis
*Catheter embolus
* Arrhythmia (usually from guidewire insertion)
*Dysrhythmias
* Venous air embolism (avoid with Trendelenburg position)
*Catheter malposition
* Bleeding
 
==Infectious==
*Bacteremia
*Sepsis
*Cellulitis at insertion site
 
==Thrombotic==
*Pulmonary embolus
*Venous thrombosus
 
==Site-Specific==
 


===External Links===
===External Links===

Revision as of 18:06, 6 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

  • Pulmonary embolus
  • Venous thrombosus

Site-Specific

External Links

References

  1. 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
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