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Towards Safer Central Venous Access

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Intensive Care Medicine

Abstract

Central venous access is ubiquitous, with some 200,000 UK procedures annually. Success is marred by significant numbers of early (1–10%) and later complications. The frequency of such complications has been highlighted by the medical and lay press in the USA and UK, with demands for systematic approaches for their reduction [1].

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References

  1. Alberti KGMM (2001) Medical errors: a common problem. It is time to get serious about them. Br Med J 322: 501–502

    Article  CAS  Google Scholar 

  2. Gualtieri E, Deppe SA, Sipperly ME, Thompson DR (1995) Subclavian venous catheterization: Greater success rate for less experienced operators using ultrasound guidance. Crit Care Med 23: 692–697

    Article  PubMed  CAS  Google Scholar 

  3. Mansfield PF, Hohn DC, Fornage BD, Gregurich MA, Ota DM (1994) Complications and failures of subclavian-vein catheterisation. N Engl J Med 331: 1735–738

    Article  PubMed  CAS  Google Scholar 

  4. Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S (1986) Central vein catheterisation. Failure and complication rates by three percutaneous approaches. Arch Intern Med 146: 259–261

    Google Scholar 

  5. Hatfield A, Bodenham A (1999) Portable ultrasound for difficult central venous access. Br J Anaesth 82 822–826

    Article  PubMed  CAS  Google Scholar 

  6. Scott DHT (1999) In the country of the blind, the one-eyed man is king. Br J Anaesth 82: 820–821

    Article  PubMed  CAS  Google Scholar 

  7. Smith RS, Kern SJ, Fry WR, Helmer SD (1998) Institutional learning curve of surgeon-performed trauma ultrasound. Arch Surg 133: 530–536

    Article  PubMed  CAS  Google Scholar 

  8. Buzzas GR, Kern SJ, Smith RS, Harrison PB, Helmer SD, Reed JA (1998) A comparison of sonographic examinations for trauma performed by surgeons and radiologists. J Trauma 44: 604–608

    Article  PubMed  CAS  Google Scholar 

  9. Gilbert TB, Seneff MG, Becker RB (1995) Facilitation of internal jugular venous cannulation using an audio-guided doppler ultrasound vascular access device. Results from a prospective dual center, randomized crossover clinical study. Grit Care Med 23: 60–65

    Google Scholar 

  10. Denys BG, Uretsky BF (1991) Anatomical variations of the internal jugular vein. Crit Care Med 19: 1516–1519

    Article  PubMed  CAS  Google Scholar 

  11. Sulek CA, Gravenstein N, Blackshear RH, Weiss L (1996) Head rotation during internal jugular vein cannulation and the risk of carotid artery puncture. Anesth Analg 82: 125–128

    PubMed  CAS  Google Scholar 

  12. Troianos CA, Kuwik RJ, Pasqual JR, Lim AJ, Odasso DP (1996) Internal jugular vein and carotid artery anatomic relation as determined by ultrasonography. Anaesthesiology 85: 4348

    Google Scholar 

  13. Hughes P, Scott C, Bodenham A (2000) Ultrasonography of femoral vessels, implications for vascular access. Anaesthesia 55: 1199–1202

    Google Scholar 

  14. Aitken DR, Minton JP (1984) The Pinch-off sign: A warning of impending problems with permanent subclavian catheters. Am J Surg 148: 633–636

    Google Scholar 

  15. Troianos CA, Jobes DR, Ellison N (1991) Ultrasound-guided cannulation of the internal jugular vein. A prospective, randomized study. Anesth Analg 72: 823–826

    Google Scholar 

  16. Gallieni M, Cozzolino M (1995) Uncomplicated central vein catheterisation of high-risk patients with real time ultrasound guidance. Int J Artif Organs 18: 117–121

    PubMed  CAS  Google Scholar 

  17. Skolnick ML (1994) The role of sonography in the placement and management of jugular and subclavian central venous catheters. Am J Roentegenol 163: 291–295

    Article  CAS  Google Scholar 

  18. Muhm M, Waltl B, Sunder-Plassman G, Apsner R (1998) Is ultrasound guided cannulation of the internal jugular vein really superior to landmark techniques? Nephrol Dial Transplant 13: 522–523

    Article  PubMed  CAS  Google Scholar 

  19. Forauer AR, Glockner JF (2000) Importance of US findings in planning jugular vein hemodialysis catheter placements. J Vasc Intery Radiol 11: 233–238

    Article  CAS  Google Scholar 

  20. Randolph AG, Cook DJ, Gonzales CA, Pribble CG (1996) Ultrasound guidance for placement of central venous catheters: A meta-analysis of the literature. Grit Care Med 24: 2053–2058

    Google Scholar 

  21. Verghese ST, Mcgill WA, Patel, et al (1999) Ultrasound guided internal jugular venous cannulation in infants; a prospective comparison with the traditional palpation method. Anaesthesiology 91: 71–77

    Article  CAS  Google Scholar 

  22. Lefrant JY, Cuvillon P, Benezet JF, et al (1998) Pulsed Doppler ultrasonography guidance for catheterization of the subclavian vein: a randomized study. Anesthesiology 88: 1195–201

    Article  PubMed  CAS  Google Scholar 

  23. Vucevic M, Tehan B, Gamlin F, Berridge JC, Boylan M (1994) The SMART needle. A new Doppler ultrasound-guided vascular access needle. Anaesthesia 49: 889–891

    Google Scholar 

  24. Hrics P, Wilber S, Blanda MP, Gallo U (1998) Ultrasound-assisted internal jugular vein catheterization in the ED. Am J Emerg Med 16: 401–403

    Article  PubMed  CAS  Google Scholar 

  25. Hilty WM, Hudson PA, Levitt MA, Hall JB (1997) Real-time ultrasound-guided femoral vein catheterization during cardiopulmonary resuscitation. Ann Emerg Med 29: 331–336

    Article  PubMed  CAS  Google Scholar 

  26. Bowdle TA (1996) Central line complications from the ASA Closed Claims Project. Am Soc Anesthesiol Newsletter 60: 22

    Google Scholar 

  27. Collier PE, Goodman GB (1995) Cardiac tamponade caused by central venous catheter perforation of the heart: a preventable complication. J Am Coll Surg 181: 459–463

    PubMed  CAS  Google Scholar 

  28. Royster RL, Johnston WE, Gravelee GP (1985) Arrythmias during venous cannulation prior to pulmonary artery catheterisation. Anesth Analg 64: 1214–1216

    Article  PubMed  CAS  Google Scholar 

  29. Tocino IM, Watanabe A (1986) Impending catheter perforation of superior vena cava: radiographic recognition. Am J Roentgenol 146: 487–490

    Article  CAS  Google Scholar 

  30. Dailey RH (1988) Late vascular perforations by CVP catheter tips. J Emerg Med 6: 137–140

    Article  PubMed  CAS  Google Scholar 

  31. Passaro ME, Steiger E, Curtas S, Seidner DL (1994) Long-term Silastic catheters and chest pain. J Parenter Enteral Nutr 18: 240–242

    Article  CAS  Google Scholar 

  32. Duntley P, Siever J, Korwes ML, Harpel K, Heffner JE (1992) Vascular erosion by central venous catheters. Chest 101: 1633–1638

    Article  PubMed  CAS  Google Scholar 

  33. Latto IP (2000) Complications following internal jugular cannulation In: Latto IP, Ng WS, Jones PL, Jenkins BJ (eds) Percutaneous Central Venous and Arterial Catheterisation, 3rd edn. WB Saunders, Philadelphia, pp 184–190

    Google Scholar 

  34. Gravenstein N, Blackshear RH (1991) In vitro evaluation of relative perforating potential of central venous catheters: comparison of materials, selected models, number of lumens, and angles of incidence to simulated membrane. J Clin Monit 7: 1–6

    Article  PubMed  CAS  Google Scholar 

  35. Chalkiadis GA, Gouke CR (1998) Depth of central venous catheter insertion in adults: an audit and assessment of a technique to improve tip position. Anaesth Intensive Care 26: 6166

    Google Scholar 

  36. Timsit JF, Farkas JC, Boyer JM, et al (1998) Central vein catheter-related thrombosis in intensive care patients: incidence, risk factors and relationship with catheter-related sepsis. Chest 114: 207–213

    Article  PubMed  CAS  Google Scholar 

  37. Dollery CM, Sullivan ID, Bauralind O, Bull C, Milla PJ (1994) Thrombosis and embolism in long-term central venous access for parenteral nutrition. Lancet 344: 1043–1045

    Article  PubMed  CAS  Google Scholar 

  38. Stanislav GV, Fitzgibbons RJ, Bailey RT, Mailliard JA, Johnson S, Feole JB (1987) Reliability of implantable central venous access devices in patients with cancer. Arch Surg 122: 1280–1283

    Article  PubMed  CAS  Google Scholar 

  39. Pittet D (1994) Nosocomial bloodstream infections in the critically ill. JAMA 272: 1819–1820

    Google Scholar 

  40. Greenall MJ, Blewitt RW, McMahon MJ (1975) Cardiac tamponade and central venous catheters. Br Med J 2: 595–597

    Article  PubMed  CAS  Google Scholar 

  41. Schuster M, Nave H, Piepenbrock, Pabst R, Panning B (2000) The carina as a landmark in central venous catheter placement. Br J Anaesth 85: 192–194

    Article  PubMed  CAS  Google Scholar 

  42. Parigi GB (1997) Accurate placement of central venous catheters in pediatric patients using endocavity electrocardiography: reassessment of a personal technique. J Pediatr Surg 32: 1226–1228

    Article  PubMed  CAS  Google Scholar 

  43. D’Souza MG, Schwartz AI, Scwarzenberger IC (2001) Safe central venous access and trans-esophageal echocardiography. J Cardio Vasc Anesth 15: 275–276

    Google Scholar 

  44. Fletcher SJ, Bodenham AR (2000) Safe placement of central venous catheters. Where should the tip of the catheter lie? Br J Anaesth 85: 188–191

    Article  PubMed  CAS  Google Scholar 

  45. Taber SW, Bergamimi TM (1997) Long-term venous access: indications and choice of site and catheter. Semin Vasc Surg 10: 130–134

    PubMed  CAS  Google Scholar 

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Authors
  1. D. W. M. Jones
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  2. A. Bodenham
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Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent MD, PhD, FCCM, FCCP (Head) (Head)

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© 2002 Springer Science+Business Media New York

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Jones, D.W.M., Bodenham, A. (2002). Towards Safer Central Venous Access. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-5551-0_38

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  • DOI: https://doi.org/10.1007/978-1-4757-5551-0_38

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-5553-4

  • Online ISBN: 978-1-4757-5551-0

  • eBook Packages: Springer Book Archive

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