Central Venous Catheter and its complications
Keywords:
Central Venous Catheters, Catheter-Related Infections, Bacteremia, Secondary Prevention, CathetersAbstract
The use of central venous catheter in clinical practice has emerged as a vascular access option in patients with prolonged hospital stays due to various pathologies of the new epidemiological spectrum. This is called an access to the bloodstream at the central level for the administration of medications and among other functions. There are several types of central venous catheters, depending on the patient's need so the one chosen is chosen.
However, infections due to the use of such invasive instruments, as well as other non-infectious complications divided into immediate ones such as arterial puncture, bleeding, pneumothorax or hemothorax, arrhythmia, air embolism or catheter malposition and late complications between them venous stenosis, venous thrombosis, catheter migration, myocardial perforation or nerve damage pose a new challenge for current medicine. During this article it is presented as well as the complications, the respective management of each one is described and how to reduce their incidence.
References
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17. Mermel L. Drawing blood cultures through intravascular catheters: Controversy and update. Infection Control & Hospital Epidemiology. 2019;40(4):457-459.
18. Almirante B. Diagnóstico y tratamiento de las bacteriemias asociadas con el uso de los catéteres vasculares: que aporta una nueva guía de práctica clínica. Medicina Intensiva. 2018;42(1):1-4.
19. Lai N, Lai N, O'Riordan E, Chaiyakunapruk N, Taylor J, Tan K. Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews. 2016;
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21. del Río-Carbajo L, Vidal-Cortés P. Tipos de antisépticos, presentaciones y normas de uso. MedicinaIntensiva. 2019;43:7-12.
22. Jacob J, Gaynes R. Intravascular catheter-related infection: Prevention [Internet]. UpToDate. 2019[cited 25 September 2019]. Available from: https://www-uptodatecom.binasss.idm.oclc.org/contents/intravascular-catheter-related-infectionprevention?search=Intravascular%20catheterrelated%20infection:%20Prevention&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
23. Young M. Complications of central venous catheters and their prevention [Internet]. UpToDate.2019 [cited 25 September 2019]. Available from: https://www-uptodatecom.binasss.idm.oclc.org/contents/complications-of-central-venous-catheters-and-theirprevention?search=Complications%20of%20central%20venous%20catheters%20and%20their%20prevention&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H17
24. Rodrigo Rivas T. Complicaciones mecánicas de los accesos venosos centrales. Revista Médica Clínica Las Condes. 2011;22(3):350-360.
25. Intagliata E. Totally implantable catheter migration and its percutaneous retrieval: case report and review of the literature. Giornale di Chirurgia - Journal of Surgery. 2016;.
26. Takasaki Y, Arai T. Transient right phrenic nerve palsy associated with central venous
catheterization. British Journal of Anaesthesia. 2001;87(3):510-511.
2. Kahale L, Tsolakian I, Hakoum M, Matar C, Barba M, Yosuico V et al. Anticoagulation for people with cancer and central venous catheters. Cochrane Database of Systematic Reviews. 2018
3. Ullman A, Cooke M, Mitchell M, Lin F, New K, Long D et al. Dressings and securement devices for central venous catheters (CVC). Cochrane Database of Systematic Reviews. 2015
4. Cepero M, Almeida A, López L. Acceso venoso central por vía yugular media con uso de Seldinger [Internet]. Medisur.sld.cu. 2019 [cited 25 September 2019]. Available from: http://www.medisur.sld.cu/index.php/medisur/article/view/2306
5. Lai N, Chaiyakunapruk N, Lai N, O'Riordan E, Pau W, Saint S. Catheter impregnation, coating or bonding for reducing central venous catheter-related infections in adults. Cochrane Database of Systematic Reviews. 2016
6. Zehnder J. Catheter-related upper extremity venous thrombosis [Internet]. UpToDate. 2019 [cited 25 September 2019]. Available from: https://www-uptodatecom.binasss.idm.oclc.org/contents/catheter-related-upper-extremity-venousthrombosis?search=Catheterrelated%20upper%20extremity%20venous%20thrombosis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
7. Calderwood M. Intravascular catheter-related infection: Clinical manifestations and diagnosis [Internet]. UpToDate. 2019 [cited 25 September 2019]. Available from: https://www-uptodatecom.binasss.idm.oclc.org/contents/intravascular-catheter-related-infection-clinical-manifestationsand-diagnosis?search=Intravascular%20catheterrelated%20infection:%20Clinical%20manifestations%20and%20diagnosis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
8. Farina J, Cornistein W, Balasini C, Chuluyan J, Blanco M. Infecciones asociadas a catéteres venosos centrales. Actualización y recomendaciones. Intersociedades | Medicina Buenos Aires [Internet]. Medicinabuenosaires.com. 2019 [cited 25 September 2019]. Available from: https://www.medicinabuenosaires.com/indices-de-2010-a-2019/infecciones-asociadas-a-cateteresvenosos-centrales-actualizacion-y-recomendaciones-intersociedades/
9. Azevedo A, Flor de Lima I, Brito V, Centeno M, Fernandes A. Cardiac tamponade: a rare complication of central venous catheter – a clinical case report. Brazilian Journal of Anesthesiology (English Edition). 2018;68(1):104-108.
10. Chaves F, Garnacho-Montero J, del Pozo J, Bouza E, Capdevila J, de Cueto M et al. Diagnosis and treatment of catheter-related bloodstream infection: Clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and (SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC). Medicina Intensiva. 2018;42(1):5-36.
11. Vergara T, Véliz E, Fica A. Los días de exposición a nutrición parenteral aumentan el riesgo de bacteriemia asociada a catéter venoso central. Revista chilena de infectología. 2016;33(6):603-608.
12. Shah P, Shah N. Heparin-bonded catheters for prolonging the patency of central venous catheters in children. Cochrane Database of Systematic Reviews. 2014
13. Vasudevan C, Oddie S, McGuire W. Early removal versus expectant management of central venous catheters in neonates with bloodstream infection. Cochrane Database of Systematic Reviews. 2016;
14. Patel A, Patel A, Singh S, Singh S, Khawaja I. Central Line Catheters and Associated Complications: A Review. Cureus. 2019;
15. Porzionato A, Montisci M, Manani G. Brachial plexus injury following subclavian vein catheterization: a case report. Journal of Clinical Anesthesia. 2003;15(8):582-586.
16. O'Grady N, Alexander M, Burns L, Dellinger E, Garland J, Heard S et al. Guidelines for the Prevention of Intravascular Catheter-related Infections. Clinical Infectious Diseases. 2011;52(9):e162-e193
17. Mermel L. Drawing blood cultures through intravascular catheters: Controversy and update. Infection Control & Hospital Epidemiology. 2019;40(4):457-459.
18. Almirante B. Diagnóstico y tratamiento de las bacteriemias asociadas con el uso de los catéteres vasculares: que aporta una nueva guía de práctica clínica. Medicina Intensiva. 2018;42(1):1-4.
19. Lai N, Lai N, O'Riordan E, Chaiyakunapruk N, Taylor J, Tan K. Skin antisepsis for reducing central venous catheter-related infections. Cochrane Database of Systematic Reviews. 2016;
20. Peña-Pérez C, Hernández-Castañeda B. Efecto del uso de ultrasonido en tiempo real en la inserción del catéter venoso central – Medicina Interna de México [Internet]. Medicinainterna.org.mx. 2019 [cited 25 September 2019]. Available from: https://medicinainterna.org.mx/article/efecto-del-usode-ultrasonido-en-tiempo-real-en-la-insercion-del-cateter-venoso-central/
21. del Río-Carbajo L, Vidal-Cortés P. Tipos de antisépticos, presentaciones y normas de uso. MedicinaIntensiva. 2019;43:7-12.
22. Jacob J, Gaynes R. Intravascular catheter-related infection: Prevention [Internet]. UpToDate. 2019[cited 25 September 2019]. Available from: https://www-uptodatecom.binasss.idm.oclc.org/contents/intravascular-catheter-related-infectionprevention?search=Intravascular%20catheterrelated%20infection:%20Prevention&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
23. Young M. Complications of central venous catheters and their prevention [Internet]. UpToDate.2019 [cited 25 September 2019]. Available from: https://www-uptodatecom.binasss.idm.oclc.org/contents/complications-of-central-venous-catheters-and-theirprevention?search=Complications%20of%20central%20venous%20catheters%20and%20their%20prevention&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H17
24. Rodrigo Rivas T. Complicaciones mecánicas de los accesos venosos centrales. Revista Médica Clínica Las Condes. 2011;22(3):350-360.
25. Intagliata E. Totally implantable catheter migration and its percutaneous retrieval: case report and review of the literature. Giornale di Chirurgia - Journal of Surgery. 2016;.
26. Takasaki Y, Arai T. Transient right phrenic nerve palsy associated with central venous
catheterization. British Journal of Anaesthesia. 2001;87(3):510-511.
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Published
2020-11-17
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Central Venous Catheter and its complications. (2020). Medicina Legal De Costa Rica, 37(1). https://www.binasss.sa.cr/ojssalud/index.php/mlcr/article/view/149
