Details

Autor(en) / Beteiligte

• Parienti, Jean-Jacques
• Mongardon, Nicolas
• Mégarbane, Bruno
• Mira, Jean-Paul
• Kalfon, Pierre
• Gros, Antoine
• Marqué, Sophie
• Thuong, Marie
• Pottier, Véronique
• Ramakers, Michel
• Savary, Benoît
• Seguin, Amélie
• Valette, Xavier
• Terzi, Nicolas
• Sauneuf, Bertrand
• Cattoir, Vincent
• Mermel, Leonard A
• du Cheyron, Damien

Titel

Intravascular Complications of Central Venous Catheterization by Insertion Site

Ist Teil von

• The New England journal of medicine, 2015-09, Vol.373 (13), p.1220-1229

Ort / Verlag

United States: Massachusetts Medical Society

Erscheinungsjahr

2015

Quelle

MEDLINE

Beschreibungen/Notizen

• Patients in the ICU were assigned to catheter insertion in the subclavian, jugular, or femoral vein. Subclavian catheterization had a lower risk of bloodstream infection and deep-vein thrombosis, and a higher risk of pneumothorax, than catheterization in the other two sites. Subclavian, jugular, and femoral central venous catheterization are associated with infectious, thrombotic, and mechanical complications. 1 Catheter-related bloodstream infection has a significant effect on morbidity, mortality, and health care costs. 2 – 4 The risk of short-term catheter-related bloodstream infection is influenced mainly by extraluminal microbial colonization of the insertion site, 5 and such colonization is also associated with thrombosis. 6 , 7 Although the importance of catheter-related deep-vein thrombosis has been debated, 1 all thromboses have the potential to embolize. In addition, catheter-related deep-vein thrombosis 7 – 9 and pulmonary embolism 10 may remain undiagnosed in critically ill patients undergoing mechanical ventilation. 11 We conducted the 3SITES multicenter study to . . .