Template:Central line contraindications: Difference between revisions
(Created page with "==Contraindications== *Infection over the placement site *Distortion of landmarks by trauma or congenital anomalies (including c-collar) *Pathologic conditions, including SVC...") |
(divided into absolute and relative, added site-specific contraindications) |
||
| Line 1: | Line 1: | ||
==Contraindications== | ==Contraindications== | ||
===Absolute=== | |||
*Infection over the placement site | *Infection over the placement site | ||
*Distortion of landmarks by trauma or congenital anomalies | *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 | *Prior vessel injury or procedures | ||
*Morbid obesity | *Morbid obesity | ||
*Uncooperative patient | *Uncooperative/combative patient | ||
{{Central line with coagulopathy}} | {{Central line with coagulopathy}} | ||
Revision as of 21:30, 19 June 2015
Contraindications
Absolute
- 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[1]
- However, consider giving FFP if patient has hemophilia[2]