Complications related to the insertion and maintenance of peripheral venous access central venous catheter

2019 ◽  
Vol 30 (3) ◽  
pp. 116-126
Author(s):  
M.E. Lacostena-Pérez ◽  
A.M. Buesa-Escar ◽  
A.M. Gil-Alós
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Venous Access ◽  
Central Venous ◽  
Peripheral Venous Access

scholarly journals Adhesion of nursing to the blood current infection protocol

2018 ◽  
Vol 12 (9) ◽  
pp. 2361
Author(s):  
Natiele Crivelaro ◽  
Ligia Marcia Contrin ◽  
Lucia Marinilza Beccaria ◽  
Isabela Shumaher Frutuoso ◽  
Ana Maria Rodrigues Da Silveira ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Venous Catheter ◽  
Venous Access ◽  
Clinical Protocols ◽  
Central Venous ◽  
Cross Sectional ◽  
Peripheral Venous Access ◽  
Nursing Team ◽  
Terapia Intensiva

ABSTRACTObjective: to verify the adherence of the nursing team to the protocol of bloodstream infection in patients using intravascular catheters. Method: A quantitative, field, cross-sectional, observational and descriptive study was carried out in a special teaching hospital in six intensive care units. Nurses' checklists were used at the bedside, in the morning, afternoon and evening shifts, from May to August, 2017. Initial (baseline) characteristics were described with counts (%), averages (SD) or medians (IQR) when appropriate. Results: it was verified, in relation to the central venous catheter / peripheral venous access dressing, that 866 (91.64%) were correctly identified and 22 (2.33%) were dirty; 803 (84.97%) were correctly fixed and 11 (1.06%) were wet. Regarding identification, the teams were correct (n = 647; 68.47%) and the colored ribbons were present in 643 (68.04%). During ICU stay, 20 (2.12%) patients had bloodstream infection related to the use of a central catheter. Conclusion: high adherence of the nursing team to the protocol and low index of bloodstream infection related to the central venous catheter when compared with the literature. Descriptors: Nursing team; Clinical Protocols; Blood flow; Patient safety; Catheter-Related Infections. Descriptors: Nursing, Team; Clinical Protocols; Blood Circulation; Catheter-Related Infections; Patient Safety.RESUMOObjetivo: verificar a adesão da equipe de Enfermagem ao protocolo de infecção de corrente sanguínea em pacientes em uso de cateteres intravasculares. Método: estudo quantitativo, de campo, transversal, observacional e descritivo, desenvolvida em um hospital de ensino de porte especial, em seis unidades de terapia intensiva. Foram utilizados checklists preenchidos por enfermeiros à beira do leito, nos turnos matutino, vespertino e noturno, de maio a agosto de 2017. Características iniciais (basais) foram descritas com contagens (%), médias (DP) ou medianas (IQR) quando adequadas. Resultados: verificou-se, em relação ao curativo do cateter venoso central/acesso venoso periférico, que 866 (91,64%) estavam identificados corretamente e 22 (2,33%) estavam sujos; 803 (84,97%) estavam fixados de forma correta e 11 (1,06%) estavam úmidos.  Em relação à identificação, os equipos estavam corretos (n=647; 68,47%) e as fitas coloridas estavam presentes em 643 (68,04%). Durante a permanência na UTI, 20 (2,12%) pacientes tiveram infecção de corrente sanguínea relacionada ao uso de cateter central. Conclusão: constatou-se alta adesão da equipe de Enfermagem ao protocolo e baixo índice de infecção de corrente sanguínea relacionada ao cateter venoso central quando comparado com a literatura. Descritores: Equipe de Enfermagem; Protocolos Clínicos; Corrente Sanguínea; Segurança do Paciente; Infecções Relacionadas a Cateter.RESUMENObjetivo: verificar la adhesión del equipo de Enfermería al protocolo de infección de flujo sanguíneo en pacientes en uso de catéteres intravasculares. Método: estudio cuantitativo, de campo, transversal, observacional y descriptivo, desarrollado en un hospital de enseñanza de porte especial, en seis unidades de terapia intensiva. Se utilizaron checklists rellenados por enfermeros al borde del lecho, en los turnos matutino, vespertino y nocturno, de mayo a agosto de 2017. Las características iniciales (basales) se describieron con recuentos (%), medias (DP) o medianas (IQR) cuando adecuadas. Resultados: se verificó, en relación al curativo del catéter venoso central / acceso venoso periférico, que 866 (91,64%) estaban identificados correctamente y 22 (2,33%) estaban sucios; 803 (84,97%) estaban fijados de forma correcta y 11 (1,06%) estaban húmedos. En cuanto a la identificación, los equipos eran correctos (n = 647; 68,47%) y las cintas coloreadas estaban presentes en 643 (68,04%). Durante la permanencia en la UTI, 20 (2,12%) pacientes tuvieron infección de corriente sanguínea relacionada al uso de catéter central. Conclusión: se constató alta adhesión del equipo de Enfermería al protocolo y bajo índice de infección de corriente sanguínea relacionada al catéter venoso central en comparación con la literatura. Descriptores: Grupo de Enfermería, Protocolos Clínicos, Circulación Sanguínea; Seguridad del Paciente, Infecciones Relacionadas a Cateter.

scholarly journals Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases

2020 ◽  
pp. 112972982094406
Author(s):  
Lucio Brugioni ◽  
Elisabetta Bertellini ◽  
Mirco Ravazzini ◽  
Marco Barchetti ◽  
Andrea Borsatti ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Guide Wire ◽  
Case Series ◽  
Venous Catheter ◽  
Venous Access ◽  
Late Complications ◽  
Central Catheter ◽  
Central Venous ◽  
Single Lumen ◽  
Thrombotic Complications

Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month. Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire. Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported. Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.

scholarly journals Folded large-bore central catheter in the right internal jugular vein as shown by ultrasound: a case report

2018 ◽  
Vol 47 (2) ◽  
pp. 1005-1009
Author(s):  
Taehee Pyeon ◽  
Jeong-Yeon Hwang ◽  
HyungYoun Gong ◽  
Sang-Hyun Kwak ◽  
Joungmin Kim
Keyword(s):  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Present Report ◽  
Large Diameter ◽  
Venous Catheter ◽  
Venous Access ◽  
Central Venous ◽  
The Right ◽  
Gain Access

Central venous catheters are used for various purposes in the operating room. Generally, the use of ultrasound to insert a central venous catheter is rapid and minimally complicated. An advanced venous access (AVA) catheter is used to gain access to the pulmonary artery and facilitate fluid resuscitation through the internal jugular vein. The present report describes a case in which ultrasound was used in a 43-year-old man to avoid complications during insertion of an AVA catheter with a relatively large diameter. The sheath of the catheter was so thin that a dilator was essential to prevent it from folding upon insertion. Despite the use of ultrasound guidance, the AVA catheter sheath became folded within the patient’s internal jugular vein. Mechanical complications of central venous catheter insertion are well known, but folding of a large-bore catheter in the internal jugular vein has rarely been reported.

scholarly journals Central Venous Catheter induced Atrial Fibrillation-A Case Report

2021 ◽  
Vol 39 (3) ◽  
pp. 200-204
Author(s):  
Masud Ahmed ◽  
Azizun Nessa ◽  
Md Al Amin Salek
Keyword(s):  
Atrial Fibrillation ◽  
Central Venous Catheter ◽  
Central Venous Access ◽  
Venous Catheter ◽  
Venous Access ◽  
Cardiac Complications ◽  
Haemodynamic Instability ◽  
Central Venous ◽  
Common Procedure ◽  
Dc Cardioversion

Though a common procedure, central venous access is related to morbidity and mortality of patients. Common cardiac complications caused by central venous catheters include premature atrial and ventricular contractions. But development of atrial fibrillation with haemodynamic instability is quite rare. We are reporting a patient who developed atrial fibrillation with hypotension while inserting central venous catheter through right subclavian vein by landmark technique. Patient was managed with DC cardioversion. Careful insertion of central venous catheter & prompt management of its complication is crucial to avoid catastrophe. J Bangladesh Coll Phys Surg 2021; 39(3): 200-204

scholarly journals Linezolid lock prophylaxis of central venous catheter infection

2008 ◽  
Vol 57 (4) ◽  
pp. 534-535 ◽  
Author(s):  
Jérôme Patrick Fennell ◽  
Martin O'Donohoe ◽  
Martin Cormican ◽  
Maureen Lynch
Keyword(s):  
Central Venous Catheter ◽  
Hospital Admissions ◽  
Blood Stream Infection ◽  
Central Venous Access ◽  
Venous Catheter ◽  
Venous Access ◽  
Blood Stream ◽  
Central Venous ◽  
Central Venous Catheter Infection ◽  
The Impact

Central venous catheter (CVC)-related infections are a major problem for patients requiring long-term venous access and may result in frequent hospital admissions and difficulties in maintaining central venous access. CVC-related blood stream infections are associated with increased duration of inpatient stay and cost approximately \#8364;13 585 per patient [Blot, S. I., Depuydt, P., Annemans, L., Benoit, D., Hoste, E., De Waele, J. J., Decruyenaere, J., Vogelaers, D., Colardyn, F. & Vandewoude, K. H. (2005). Clin Infect Dis 41, 1591–1598]. Antimicrobial lock therapy may prevent CVC-related blood stream infection, preserve central venous access and reduce hospital admissions. In this paper, the impact of linezolid lock prophylaxis in a patient with short bowel syndrome is described.

Placement of Central Venous Catheters in Patients Undergoing Major Maxillofacial Surgery - A Retrospective Clinical Audit

2010 ◽  
Vol 11 (2) ◽  
pp. 128-131
Author(s):  
Vasileios Zochios ◽  
Michael Gilhooly ◽  
Simon Fenner
Keyword(s):  
Central Venous Catheter ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Central Venous Access ◽  
Maxillofacial Surgery ◽  
Vena Cava ◽  
Venous Catheter ◽  
Venous Access ◽  
Central Venous Catheters ◽  
Central Venous

Purpose The subclavian vein is thought to be the most appropriate route for central venous access in major maxillofacial surgery. Evidence suggests that left-sided central venous catheters should lie below the carina and be angulated at less than 40° to superior vena cava wall. This reduces perforation risk. With this in mind we audited our current practice for placement of central venous catheters for major maxillofacial surgery. The criteria against which we compared our practice were: 1) all catheter tips should lie below the carina and 2) the angle of the distal 1 cm of the catheter should be no more than 40° to the superior vena cava wall. Methods Left subclavian central venous catheters placed on a weekly operating list between September 2005 and August 2008 were identified retrospectively: 83 patients were identified; 22 were excluded. The angle of the central venous catheter tip and distance from the carina were measured on the first post-procedure chest-X ray. All central venous catheters used were 16 cm long. Results 82% of the catheter tips were located above the carina while 61% were angulated at greater than 40°; 11% of central venous catheters met both standards; 14% of central venous catheters placed by a consultant and 12% of catheters placed by a trainee met both standards. Conclusions 89% of the central venous catheters were not correctly placed. The majority of central venous catheter tips above the carina were at an adverse angle to the superior vena cava wall. We suggest that for left subclavian central lines, 20 cm catheters be used.

Advantages of Totally Implanted Port over Impromptu Short-Term Central Venous Catheter in Oncological Pain Therapy

2003 ◽  
Vol 4 (2) ◽  
pp. 50-55 ◽  
Author(s):  
C. Reale ◽  
E. Vernaglione ◽  
C.A. Reale ◽  
A. Mancini ◽  
M. Prologo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Central Venous Catheter ◽  
Pain Therapy ◽  
Venous Catheter ◽  
Brief Pain Inventory ◽  
Venous Access ◽  
Central Venous ◽  
Short Term ◽  
Randomised Study

The aim of this paper is to determine if patient controlled analgesia (PCA) by means of programmable pumps improves patients' autonomy and to verify if the short-term central venous catheter - implanted when pain is first evident - makes the quality of life worse in comparison with an early implanted port. Forty non-terminally ill patients affected by urinary malignant pathologies with visceral and bone metastases were enrolled in a prospective and randomised study at the Urology Department of “La Sapienza” University in Rome, Italy. Intensity of pain and tolerability of venous access were assessed for the first 7 days, and weekly for 3 months. Such data were used to adjust drug therapy. In this study we hypothesized that a delayed central venous catheter implant, when the pain is at first considerably evident, can interfere negatively with drug treatment. The visual analogue scale (VAS) and the brief pain inventory (BPI) were administered to the patients, and these showed good levels of analgesia in both groups and a greater comfort to the patients with the previously implanted port in comparison with a short-term central venous catheter. In conclusion, PCA achieves a constant level of drugs and enables the patient to voluntary control the pain by means of supplemental boluses. Both central devices seem to provide similar technical benefits, but the port is much more easily tolerated and the quality of life is increased if it is already available when pain is first evident.

scholarly journals Inadvertent arterial placement of central venous catheter: salvage using endovascular treatment

2019 ◽  
Vol 12 (11) ◽  
pp. e231751
Author(s):  
Manish Shaw ◽  
Sheragaru Hanumanthappa Chandrashekhara ◽  
Arun Sharma ◽  
Sanjeev Kumar
Keyword(s):  
Central Venous Catheter ◽  
Unusual Case ◽  
Emergency Situation ◽  
Venous Catheter ◽  
Venous Access ◽  
Covered Stent ◽  
Endovascular Management ◽  
Clinical Context ◽  
Central Venous ◽  
Covered Stent Graft

The frequency of placing a central venous catheter (CVC) has increased and it is often performed in emergency situation for venous access. During such an emergency and placing without imaging guidance, sometimes inadvertent placement of CVC in subclavian artery (SCA) can occur. We hereby describe an unusual case of successful endovascular management of inadvertently inserted CVC in SCA by covered stent graft placement along with proper clinical context to manage a case of misplaced venous catheter in left SCA.

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