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Central venous catheterization-related complications in a cohort of 100 hospitalized patients:An observational study

摘要Objective:To evaluate the complications of central venous catheterization(CVC).Methods:A prospective,observational study was conducted at a tertiary care center in India from December 2018 to September 2020.Critically ill patients(aged≥18 years)in the intensive care unit undergoing CVC procedures were included in the study.Baseline demographics and detailed medical history were recorded.Chest X-rays and electrocardiography were performed on all the patients.Complications associated with CVC were recorded.Results:A total of 100 patients with the indication for central venous catheter insertion were included.The majority(81%)of the patients were inserted with CVC at the right internal jugular vein.Complications such as arterial puncture(2%),hematoma(4%),blood clot formation(4%),catheter kinking(3%),thoracic injury(1%),thrombophlebitis(6%),sepsis(9%)and nerve injury(1%)were reported.Conclusions:Though central venous access is preferred in management of critically ill patients,it has its risks.However,early recognition and prompt management of complications may reduce mortality and morbidity.Physicians and intensive care unit intensivists should be vigilant for central venous catheter-related complications.Suitable site selection,operator experience,and proper catheter maintenance are associated with optimal outcomes.

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作者 Reena Singh [1] Naimish Patel [2] Nidhi Mehta [2] Gaurav Singh [3] Nirav Patel [2] 学术成果认领
作者单位 Department of Internal Medicine,Sri Aurobindo Institute of Medical Science,Indore-453555,Madhya Pradesh,India [1] Department of Internal Medicine,G.C.S Medical College Hospital and Research Centre,Ahmedabad-380025,Gujarat,India [2] Department of Cardiology,Sri Aurobindo Institute of Medical Science,Indore-453555,Madhya Pradesh,India [3]
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DOI 10.4103/2221-6189.385685
发布时间 2023-10-07(万方平台首次上网日期,不代表论文的发表时间)
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