CVC catheter problems - Revision history

Ihearttroponin at 14:33, 18 March 2020

2020-03-18T14:33:34Z

← Older revision		Revision as of 14:33, 18 March 2020
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	===Thrombotic===		===Thrombotic===
	*[[Pulmonary ~~embolus~~]]		*[[Pulmonary embolism]]
	*[[Venous ~~thrombosus~~]]		*[[Venous thrombosis]]

	===Site-Specific===		===Site-Specific===

Ihearttroponin at 14:32, 18 March 2020

2020-03-18T14:32:55Z

← Older revision		Revision as of 14:32, 18 March 2020
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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 embolus		*[[Pulmonary embolus]]
	*Venous thrombosus		*[[Venous thrombosus]]

	===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
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	*Femoral		*Femoral
	**Bowel perforation		**Bowel perforation
	**Psoas abscess		**[[Psoas abscess]]
	**Bladder perforation		**Bladder perforation

Ihearttroponin at 18:19, 6 March 2020

2020-03-06T18:19:01Z

← Older revision		Revision as of 18:19, 6 March 2020
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	===Site-Specific===		===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==		==External Links==

Ihearttroponin at 18:07, 6 March 2020

2020-03-06T18:07:31Z

← Older revision		Revision as of 18:07, 6 March 2020
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	===Background===		==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.<ref>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</ref>		[[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.<ref>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</ref>

	===Complications===		==Complications==
	==Mechanical==		===Mechanical===
	*Arterial puncture		*Arterial puncture
	*Hematoma formation		*Hematoma formation
Line 13:		Line 13:
	*Catheter malposition		*Catheter malposition

	==Infectious==		===Infectious===
	*Bacteremia		*Bacteremia
	*Sepsis		*Sepsis
	*Cellulitis at insertion site		*Cellulitis at insertion site

	==Thrombotic==		===Thrombotic===
	*Pulmonary embolus		*Pulmonary embolus
	*Venous thrombosus		*Venous thrombosus

	==Site-Specific==		===Site-Specific===


	===External Links===		==External Links==
	* [https://pubmed.ncbi.nlm.nih.gov/26398070-intravascular-complications-of-central-venous-catheterization-by-insertion-site/ 3SITES Trial]		* [https://pubmed.ncbi.nlm.nih.gov/26398070-intravascular-complications-of-central-venous-catheterization-by-insertion-site/ 3SITES Trial]
	* [https://emcrit.org/emcrit/central-line-micro-skills-deliberate-practice/ EMCrit: CVC Microskills ]		* [https://emcrit.org/emcrit/central-line-micro-skills-deliberate-practice/ EMCrit: CVC Microskills ]

	===References===		==References==
	<references/>		<references/>

	[[Category:Procedures]]		[[Category:Procedures]]

Ihearttroponin at 18:06, 6 March 2020

2020-03-06T18:06:15Z

← Older revision		Revision as of 18:06, 6 March 2020
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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===

Ihearttroponin: Created page with "===Background=== Central venous catheter complications vary by site. Subclavian lines are more commonly associated with pneumothorax and have a higher risk of bleeding bec..."

2020-03-06T17:49:27Z

Created page with "===Background=== Central venous catheter complications vary by site. Subclavian lines are more commonly associated with pneumothorax and have a higher risk of bleeding bec..."

New page

===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.<ref>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</ref>

===Complications===
* Pneumothorax (more common with subclavian)
* Arterial puncture (more common with femoral)
* Catheter malposition
* Subcutaneous hematoma
* Hemothorax
* Catheter related infection (historically more with femoral)
* Catheter induced thrombosis
* Arrhythmia (usually from guidewire insertion)
* Venous air embolism (avoid with Trendelenburg position)
* Bleeding

===External Links===
* [https://pubmed.ncbi.nlm.nih.gov/26398070-intravascular-complications-of-central-venous-catheterization-by-insertion-site/ 3SITES Trial]
* [https://emcrit.org/emcrit/central-line-micro-skills-deliberate-practice/ EMCrit: CVC Microskills ]

===References===
<references/>

[[Category:Procedures]]