Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study
Objective: To evaluate the complications of central venous catheterization (CVC). Methods: A prospective, observational study was conducted at a tertiary care center in India from December 2018 to September 2020. Critically ill patients (aged ≥18 years) in the intensive care unit undergoing CVC proc...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Acute Disease |
| Subjects: | |
| Online Access: | http://www.jadweb.org/article.asp?issn=2221-6189;year=2023;volume=12;issue=4;spage=169;epage=172;aulast=Singh |
| _version_ | 1797649206501965824 |
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| author | Reena Singh Naimish Patel Nidhi Mehta Gaurav Singh Nirav Patel |
| author_facet | Reena Singh Naimish Patel Nidhi Mehta Gaurav Singh Nirav Patel |
| author_sort | Reena Singh |
| collection | DOAJ |
| description | Objective: To evaluate the complications of central venous catheterization (CVC).
Methods: A prospective, observational study was conducted at a tertiary care center in India from December 2018 to September 2020. Critically ill patients (aged ≥18 years) in the intensive care unit undergoing CVC procedures were included in the study. Baseline demographics and detailed medical history were recorded. Chest X-rays and electrocardiography were performed on all the patients. Complications associated with CVC were recorded.
Results: A total of 100 patients with the indication for centralvenous catheter insertion were included. The majority (81%) of the patients were inserted with CVC at the right internal jugular vein. Complications such as arterial puncture (2%), hematoma (4%), blood clot formation (4%), catheter kinking (3%), thoracic injury(1%), thrombophlebitis (6%), sepsis (9%) and nerve injury (1%)were reported.
Conclusions: Though central venous access is preferred in management of critically ill patients, it has its risks. However, early recognition and prompt management of complications may reduce mortality and morbidity. Physicians and intensive care unit intensivists should be vigilant for central venous catheter-related complications. Suitable site selection, operator experience, and proper catheter maintenance are associated with optimal outcomes. |
| first_indexed | 2024-03-11T15:42:55Z |
| format | Article |
| id | doaj.art-2d048785dd034e57875db82bf73a5639 |
| institution | Directory Open Access Journal |
| issn | 2221-6189 2589-5516 |
| language | English |
| last_indexed | 2024-03-11T15:42:55Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Acute Disease |
| spelling | doaj.art-2d048785dd034e57875db82bf73a56392023-10-26T08:39:48ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162023-01-0112416917210.4103/2221-6189.385685Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational studyReena SinghNaimish PatelNidhi MehtaGaurav SinghNirav PatelObjective: To evaluate the complications of central venous catheterization (CVC). Methods: A prospective, observational study was conducted at a tertiary care center in India from December 2018 to September 2020. Critically ill patients (aged ≥18 years) in the intensive care unit undergoing CVC procedures were included in the study. Baseline demographics and detailed medical history were recorded. Chest X-rays and electrocardiography were performed on all the patients. Complications associated with CVC were recorded. Results: A total of 100 patients with the indication for centralvenous catheter insertion were included. The majority (81%) of the patients were inserted with CVC at the right internal jugular vein. Complications such as arterial puncture (2%), hematoma (4%), blood clot formation (4%), catheter kinking (3%), thoracic injury(1%), thrombophlebitis (6%), sepsis (9%) and nerve injury (1%)were reported. Conclusions: Though central venous access is preferred in management of critically ill patients, it has its risks. However, early recognition and prompt management of complications may reduce mortality and morbidity. Physicians and intensive care unit intensivists should be vigilant for central venous catheter-related complications. Suitable site selection, operator experience, and proper catheter maintenance are associated with optimal outcomes.http://www.jadweb.org/article.asp?issn=2221-6189;year=2023;volume=12;issue=4;spage=169;epage=172;aulast=Singhcentral venous catheter; complications; central line; central venous access; critical care; internal jugular vein |
| spellingShingle | Reena Singh Naimish Patel Nidhi Mehta Gaurav Singh Nirav Patel Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study Journal of Acute Disease central venous catheter; complications; central line; central venous access; critical care; internal jugular vein |
| title | Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study |
| title_full | Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study |
| title_fullStr | Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study |
| title_full_unstemmed | Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study |
| title_short | Central venous catheterization-related complications in a cohort of 100 hospitalized patients: An observational study |
| title_sort | central venous catheterization related complications in a cohort of 100 hospitalized patients an observational study |
| topic | central venous catheter; complications; central line; central venous access; critical care; internal jugular vein |
| url | http://www.jadweb.org/article.asp?issn=2221-6189;year=2023;volume=12;issue=4;spage=169;epage=172;aulast=Singh |
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