Published rates of cannulation success and complications vary according to the anatomic site and operator experience. One review described an overall complication rate of 15 percent [1], while an observational cohort study of 385 consecutive CVC attempts over a six month period found that mechanical complications occurred in 33 percent of attempts [2]. Complications included failure to place the catheter (22 percent), arterial puncture (5 percent), catheter malposition (4 percent), pneumothorax (1 percent), subcutaneous hematoma (1 percent), hemothorax (less than 1 percent), and aystolic cardiac arrest (less than 1 percent).
[1] McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123. [2] Eisen LA, Narasimhan M, Berger JS, Mayo PH, Rosen MJ, Schneider RF. Mechanical complications of central venous catheters.J Intensive Care Med. 2006;21(1):40. Sean R. Townsend, M.D. Vice President of Quality & Safety California Pacific Medical Center 2330 Clay Street, #301 San Francisco, CA 94115 email [email protected]<mailto:[email protected]> office (415) 600-5770 fax (415) 600-1541 From: [email protected] [mailto:[email protected]] On Behalf Of Orth, Claudia Sent: Wednesday, April 09, 2014 06:40 PM Cc: [email protected] Subject: [Sepsis Groups] Natl. compliance rates w/ central line placement I am hoping that someone might be able to educate me on the current national compliance rates for central line placement? Thank you in advance for any assistance. Claudia Sepsis Coordinator Munson Medical Center Sent from IPhone _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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