Central Venous Catheter–Related Infection: A Prospective, Observational Study to Assess the Incidence Rate at a Teaching Hospital in Argentina

2002 ◽  
Vol 23 (12) ◽  
pp. 757-758 ◽  
Author(s):  
Carlos Bantar ◽  
José Luis Bustos ◽  
Eduardo Vesco ◽  
Graciana Morera ◽  
Keyword(s):  
Central Venous Catheter ◽  
Observational Study ◽  
Incidence Rate ◽  
Infection Rate ◽  
Teaching Hospital ◽  
Prospective Observational Study ◽  
Venous Catheter ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Catheter Related Infection

AbstractOne hundred fifty-one central venous catheters (CVCs) were observed for development of infection. The infection rate was higher for CVCs with a duration of less than 6 days than for those with a longer duration. Our data suggest that scheduled replacement of CVCs is not necessary.

THE CENTRAL VENOUS CATHETER-RELATED INFECTION RATE OF CHLORHEXIDINE-SILVER SULFADIAZINE COATED CATHETERS IN MEDICAL ICU.

2005 ◽  
Vol 33 ◽  
pp. A158
Author(s):  
Sang-Bum Hong ◽  
Young Ju Jung ◽  
Younsuck Koh ◽  
Chae-Man Lim ◽  
Yeon Mok Oh ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Infection Rate ◽  
Venous Catheter ◽  
Silver Sulfadiazine ◽  
Central Venous ◽  
Catheter Related Infection

A bedside rescue method for retrieving retained guidewires: The ‘Suck Out’ technique

2020 ◽  
pp. 112972982094345
Author(s):  
Maryanne Z A Mariyaselvam ◽  
Vikesh Patel ◽  
Adam Sawyer ◽  
James A Richardson ◽  
Jonathan Dean ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous Catheters ◽  
Patient Harm ◽  
Central Venous ◽  
Exact Test ◽  
The United Kingdom ◽  
Catheter Tip ◽  
Never Event ◽  
Benchtop Model

Background: Central venous catheter guidewire retention is classed as a ‘never event’ in the United Kingdom, with the potential for significant patient harm. If the retained guidewire remains within the central venous catheter lumen, bedside techniques may facilitate guidewire retrieval. However, these techniques may be ineffective if the guidewire has already passed below skin level. We investigated a novel ‘suck out’ technique for bedside guidewire retrieval and compared this against traditional retrieval methods. Methods: Simulation 1: in a benchtop model, seven different central venous catheters had their corresponding guidewire placed in the last 2 cm of the catheter tip which was immersed horizontally in fluid. A 50-mL syringe was attached to the distal lumen central venous catheter hub and suction applied for 5 s, and the distance of guidewire retraction was recorded. Simulation 2: a central venous catheter guidewire was intentionally retained within the catheter at either 5 cm above or below skin level in a pigskin model. Simple catheter withdrawal, catheter clamping withdrawal and the ‘suck out’ method were compared for efficacy using Fisher’s exact test. Results: Simulation 1: retained guidewires were retracted by 13 cm on average. Simulation 2: when guidewires were retained 5 cm above skin level, all retrieval methods were 100% effective; however, when retained 5 cm below skin level, simple catheter withdrawal was ineffective, clamping and withdrawal was only 10% effective and the ‘suck out’ technique was 90% effective (p < 0.001). Conclusion: The ‘suck out’ technique can effectively retract guidewires retained within central venous catheter lumens and demonstrates superiority over traditional methods of retained guidewire extraction in simulated models.

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