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Towards Optimal Central Venous Catheter Tip Position

  • W. Schummer
  • Y. Sakr
  • C. Schummer

Abstract

Central venous catheters (CVCs) are required in many critically ill patients. They are usually inserted through the subclavian or internal jugular veins. As with most invasive procedures, central venous catheterization is associated with numerous potential complications, many of which are associated with the access procedure. The use of ultrasound guidance during CVC placement is among the top 10 evidence-based tools that health care providers can use to improve patient safety [1]. However, serious complications may also occur due to catheter tip malposition. Generally, these complications have only been reported in small studies or case reports, thus underreporting is likely. As a result, exact figures regarding the magnitude of risk of specific complications are not available. Venous or right heart perforations, causing pericardial tamponade or hemothoraces, are associated with a high mortality rate of 65 to 91% [2]. Despite the low incidence of severe complications, there is a wide range of clinically relevant drawbacks related to catheter tip malposition (e.g., venous thrombosis, catheter dysfunction).

Keywords

Central Venous Catheter Superior Vena Cardiac Tamponade Vein Wall Pericardial Tamponade 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science + Business Media Inc. 2008

Authors and Affiliations

  • W. Schummer
    • 1
  • Y. Sakr
    • 2
  • C. Schummer
    • 1
  1. 1.Dept of Anesthesiology and Intensive CareFriedrich-Schiller UniversityJenaGermany
  2. 2.Dept of Anesthesiology and Intensive CareFriedrich-Schiller UniversityJenaGermany

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