Introduction: The use of central venous catheters (CVCs) in the emergency room (ER) is a valuable tool for the comprehensive management of critically ill patients; however, the positioning of these devices is not free of complications. Currently, the use of ultrasound is considered a useful and safe tool to carry out these procedures, but in Colombia, the number of emergency departments providing this tool is scarce and there is no literature describing the experience in our country.
Objective: The objective of this study was to describe the experience regarding placement of ultrasound-guided CVCs by emergency physicians in an institution in Bogotá, as well as the associated complications.
Materials And Methods: This is a descriptive cross-sectional retrospective study. Medical records of 471 patients requiring insertion of CVCs in the resuscitation area from January 2014 to December 2014 were reviewed. Insertion site and complications are described.
Results: For 471 total cases, the average age of patients was 68.6 years, the most frequent diagnosis was sepsis (30.7%), the preferred route of insertion was the right internal jugular vein, and insertion was successful at the first attempt in 85.9% of patients. Pneumothorax was the most common complication (1.2%), followed by extensive hematoma and infection.
Conclusion: Insertion of ultrasound-guided CVCs by emergency physicians is a safe procedure that involves complications similar to those reported in the literature; it is necessary to expand the use of ultrasound-guided CVCs in ERs.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973354 | PMC |
| http://dx.doi.org/10.2147/OAEM.S150966 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Detection of Severe Neurological Complications Caused by the Removal of Central Venous Catheter Accidentally Inserted in the Epidural Space via Motor-Evoked Potential: A Case Report.
Cureus
October 2024
Department of Anesthesiology, Seirei Hamamatsu General Hospital, Hamamatsu, JPN.
Article Synopsis
- The central venous catheter (CVC) has been in use for over 50 years, originally for total parenteral nutrition, but its applications have expanded to areas like chemotherapy and intensive care, accompanying increased complications.
- Despite guidelines for safe CVC insertion, the risks associated with CVC removal have been overlooked, leading to potential complications such as air embolism, airway obstruction, and neurological issues.
- A case is presented where a CVC was improperly placed in the epidural space, resulting in arterial bleeding and neurological deterioration after its removal, necessitating emergency interventions.
Broviac Catheter-Related Aortic Valve Infective Endocarditis Complicated With Massive Aortic Regurgitation Requiring Emergency Surgery: A Case Report.
Case Rep Infect Dis
October 2024
Department of Cardiac Surgery, Józef Struś Hospital, Poznan, Poland.
Broviac catheter is a type of central venous catheter (CVC) used for long-term parenteral nutrition in specific patients, e.g., diagnosed with intestinal failure as short bowel syndrome (SBS).
View Article and Find Full Text PDFNurse-Driven Interventions Reduce Central Line-Associated Bloodstream Infection Close to Zero in One Pediatric Oncologic Facility: A Single-Center Retrospective Observational Study.
Nurs Rep
September 2024
Department of Pediatrics, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", Via dell'Istria 65/1, 34137 Trieste, Italy.
Background: Central line-associated bloodstream infections (CLABSIs) are critical infectious complications among pediatric hematology-oncology patients, and the management of central venous catheters (CVCs) by healthcare personnel can significantly influence the incidence of these infections. This study evaluates the impact of nurse-led changes in CVC management on the incidence of CLABSIs.
Methods: This single-center, retrospective observational study was conducted at an urban, tertiary referral, and academic center serving pediatric patients.
Central Venous Catheter Complications in the Poisoning Emergency Center: A 5-Year Cross-Sectional Study.
Adv Biomed Res
July 2024
Department of Clinical Toxicology, School of Medicine, Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Article Synopsis
- Central venous catheters (CVCs) are commonly used in emergency centers for patients with acute poisoning, but complications related to their use have not been thoroughly studied.
- A cross-sectional study reviewed the medical records of 400 patients with acute poisoning who underwent CVC placement between 2014 and 2019, revealing a complication rate of 13.75% overall.
- The internal jugular vein approach had the highest complication rate (20.7%), particularly for infections and pneumothorax, while the subclavian approach was linked to a higher incidence of arterial puncture.
Differences in Efficacy between Antibacterial Lock Therapy and the Standard of Care for CVC-Related Infections: A Systematic Review and Meta-Analysis.
Clin Pract
August 2024
Unit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University Hospital "G. Martino", University of Messina, 98124 Messina, Italy.
: Central Venous Catheter (CVC)-related infections cannot always be solved by replacement, due to some vascular anomalies or an emergency status. This comprehensive, evidence-based review aimed to define the efficacy of antibacterial lock therapy (ALT) compared to the standard of care (SoC) in CVC-related infections. : We performed a systematic search in PubMed, Embase, and Google Scholar, looking for randomized controlled trials (RCTs) and cohort or case-control observational studies.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!