Mechanical complications of central venous catheters

J Intensive Care Med. Jan-Feb 2006;21(1):40-6. doi: 10.1177/0885066605280884.

Abstract

We analyzed 385 consecutive central venous catheter (CVC) attempts over a 6-month period. All critically ill patients 18 years of age or older requiring a CVC were included. The rate of mechanical complications not including failure to place was 14%. Complications included failure to place the CVC (n = 86), arterial puncture (n = 18), improper position (n = 14), pneumothorax (n = 5 in 258 subclavian and internal jugular attempts), hematoma (n = 3), hemothorax (n = 1), and asystolic cardiac arrest of unknown etiology (n = 1). Male patients had a significantly higher complication rate than female patients (37% vs 27%, P = .04). The subclavian approach had a higher complication rate than the internal jugular or the femoral approach (39% vs 33% vs. 24%, P = .02). The complication rate increased with the number of percutaneous punctures, with a rate of 54% when more than 2 punctures were required.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Arteries / injuries
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / instrumentation
  • Catheterization, Central Venous / statistics & numerical data*
  • Catheters, Indwelling / adverse effects
  • Catheters, Indwelling / statistics & numerical data
  • Clinical Competence / statistics & numerical data
  • Female
  • Hematoma / etiology
  • Hemothorax / etiology
  • Humans
  • Logistic Models
  • Male
  • Multivariate Analysis
  • Pneumothorax / etiology
  • Risk Factors
  • Sex Factors
  • Treatment Failure
  • Wounds, Penetrating / etiology