What are the complications of central line?
Immediate risks of peripherally inserted catheters include injury to local structures, phlebitis at insertion site, air embolism, hematoma, arrhythmia, and catheter malposition. Late complications include infection, thrombosis, and catheter malposition.
What are three complications that can occur from a central venous catheter?
The 5 Most Common Central Venous Catheter Complications
- Damage to central veins.
- Pulmonary, or lung, complications.
- Cardiac, or heart, complications.
- Device dysfunction.
- Infection.
What are the four types of central lines?
Types of central lines include:
- Peripherally inserted central catheter (PICC). This line is placed in a large vein in the upper arm, or near the bend of the elbow.
- Subclavian line. This line is placed into the vein that runs behind the collarbone.
- Internal jugular line.
- Femoral line.
What are 5 indications for central lines?
Some indications for central venous line placement include fluid resuscitation, blood transfusion, drug infusion, central venous pressure monitoring, pulmonary artery catheterization, emergency venous access for patients in which peripheral access cannot be obtained, and transvenous pacing wire placement.
How can central line complications be prevented?
8 Ways to Avoid Central Line Placement Complications
- If possible, aim for ultrasound-guided PIV instead.
- Utilize a CVC insertion checklist.
- Select the optimal insertion site.
- Use hand hygiene.
- Maximize sterile barriers.
- Adhere to aseptic technique.
- Guide CVC placement with ultrasound.
What are signs of CVC problems?
Signs and symptoms – Pain, inflammation, redness, warmth, venous cord, induration and/or swelling occurring along the vein; – Purulent discharge; – Positive swab cultures.
What is normal CVP range?
A normal central venous pressure reading is between 8 to 12 mmHg. This value is altered by volume status and/or venous compliance.
How do you measure CVP pressure?
Central venous pressure (CVP) is measured directly by insertion of a catheter through the anterior vena cava to the level of the right atrium. This catheter is then connected to a fluid manometer, where the pressure reading can be read.
What vein is used for central line?
The internal jugular vein, common femoral vein, and subclavian veins are the preferred sites for temporary central venous catheter placement. Additionally, for mid-term and long-term central venous access, the basilic and brachial veins are utilized for peripherally inserted central catheters (PICCs).
What is CVC risk?
The application of CVC is accompanied with the risk of complications, such as complications caused by CVC insertion and infections at the place of the catheter insertion, sepsis and other metastatic infections. The total number of complications during CVC insertion in both groups was 49 (42.37%).
What is the most common complication encountered during a central catheter insertion?
Arterial puncture, hematoma, and pneumothorax are the most common mechanical complications during the insertion of central venous catheters (Table 2). Overall, internal jugular catheterization and subclavian venous catheterization carry similar risks of mechanical complications.
What are the possible complications of a central line placement?
PULMONARY COMPLICATIONS Pulmonary complications that can occur during catheter placement include pneumothorax, pneumomediastinum, chylothorax, tracheal injury, injury to the recurrent laryngeal nerve, and air embolus. Injury to the parietal pleura during central line placement results in pneumothorax and pneumomediastinum.
Are there any complications associated with central venous lines?
Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access. Significant morbidity and mortality can result from complications related to central venous access.
What are the possible complications of infusion through accidental arterial lines?
Rare cases of cerebrovascular events and neurologic deficits have been reported in the literature as a result of infusion through accidental arterial lines.[19,20,21] While arterial injuries are more common, lacerations of the vena cava, mediastinal vessels, and right atrium have been reported.
What are delayed complications of central venous catheter placement?
Delayed complications include device dysfunction and infection. These complications are more gradual in onset and can occur in the weeks to years after central venous catheter placement. Early recognition is important in reducing morbidity and mortality associated with these complications.