دورية أكاديمية
Complications of central venous catheterization at a vascular surgery service in a teaching hospital: a prospective cohort study.
| العنوان: | Complications of central venous catheterization at a vascular surgery service in a teaching hospital: a prospective cohort study. |
|---|---|
| المؤلفون: | Jatczak L; Faculdade Meridional - IMED, Passo Fundo, RS, Brasil., Puton RC; Instituto Vascular de Passo Fundo - INVASC, Passo Fundo, RS, Brasil.; Hospital de Clínicas de Passo Fundo - HCPF, Passo Fundo, RS, Brasil., Proença AJL; Hospital de Clínicas de Passo Fundo - HCPF, Passo Fundo, RS, Brasil., Rubin LC; Hospital de Clínicas de Passo Fundo - HCPF, Passo Fundo, RS, Brasil., Borges LB; Instituto Vascular de Passo Fundo - INVASC, Passo Fundo, RS, Brasil.; Hospital de Clínicas de Passo Fundo - HCPF, Passo Fundo, RS, Brasil., Saleh JN; Instituto Vascular de Passo Fundo - INVASC, Passo Fundo, RS, Brasil.; Hospital de Clínicas de Passo Fundo - HCPF, Passo Fundo, RS, Brasil.; Universidade de Passo Fundo - UPF, Passo Fundo, RS, Brasil., Corrêa MP; Faculdade Meridional - IMED, Passo Fundo, RS, Brasil.; Instituto Vascular de Passo Fundo - INVASC, Passo Fundo, RS, Brasil.; Hospital de Clínicas de Passo Fundo - HCPF, Passo Fundo, RS, Brasil.; Universidade de Passo Fundo - UPF, Passo Fundo, RS, Brasil. |
| المصدر: | Jornal vascular brasileiro [J Vasc Bras] 2023 Sep 18; Vol. 22, pp. e20230070. Date of Electronic Publication: 2023 Sep 18 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sociedade Brasileira de Angiologia e Cirurgia Vascular Country of Publication: Brazil NLM ID: 101262256 Publication Model: eCollection Cited Medium: Internet ISSN: 1677-7301 (Electronic) Linking ISSN: 16775449 NLM ISO Abbreviation: J Vasc Bras Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Salvador, BA : Sociedade Brasileira de Angiologia e Cirurgia Vascular, [2002]- |
| مستخلص: | Background: Central venous catheters are essential for management of hospitalized patients, but their insertion is subject to complications that can make them unusable and/or cause patient morbidity. There are few data on the incidence of these complications and the variables associated with these outcomes in Brazil. Objectives: To determine the incidence of mechanical complications and failures of short stay central venous catheters fitted by the vascular surgery service at a teaching hospital and identify variables associated with their occurrence. Methods: This was a prospective cohort of 73 attempts to fit patients with a central venous catheter performed by the vascular surgery service at a teaching hospital from July to October of 2022. Results: Mechanical complications occurred in 12 cannulation attempts (16.44%) and there were 10 failures (13.70%). The factors associated with mechanical complications were less experienced operators (p < 0.001), less specialized operators (p = 0.014), a failed attempt prior to requesting help from the vascular surgery service (p = 0.008), and presence of at least two criteria for difficulty (p = 0.007). Conclusions: The local incidence of mechanical complications and central venous cannulation failures was similar to rates described in the international literature, but higher than rates in other Brazilian studies. The results suggest that the degree of experience of the person fitting the catheter, history of a failed prior attempt, and presence of at least two criteria for difficulty identified before the procedure were associated with worse outcomes. Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article. (Copyright© 2023 The authors.) |
| References: | Intensive Care Med. 2002 Aug;28(8):1036-41. (PMID: 12185422) Minerva Anestesiol. 2012 Nov;78(11):1234-40. (PMID: 22699699) J Intensive Care Med. 2016 Jul;31(6):397-402. (PMID: 24988896) Crit Care Med. 2007 May;35(5):1390-6. (PMID: 17414086) Eur J Anaesthesiol. 2004 Sep;21(9):684-7. (PMID: 15595579) Cureus. 2019 May 22;11(5):e4717. (PMID: 31355077) Crit Care Med. 2015 Oct;43(10):2112-6. (PMID: 26121076) J Hosp Infect. 2009 Dec;73(4):323-30. (PMID: 19699555) Lancet. 1998 Mar 21;351(9106):893-8. (PMID: 9525387) Arch Intern Med. 1986 Feb;146(2):259-61. (PMID: 3947185) Br J Anaesth. 1999 Jun;82(6):822-6. (PMID: 10562772) J Am Coll Surg. 2007 Apr;204(4):681-96. (PMID: 17382229) Rev Assoc Med Bras (1992). 2017 Jul;63(7):613-620. (PMID: 28977087) Ann R Coll Surg Engl. 2017 May;99(5):390-393. (PMID: 28462650) N Engl J Med. 2003 Mar 20;348(12):1123-33. (PMID: 12646670) Br J Anaesth. 2022 Dec;129(6):843-850. (PMID: 36280461) N Engl J Med. 1994 Dec 29;331(26):1735-8. (PMID: 7984193) Acta Anaesthesiol Scand. 2019 Jan;63(1):61-68. (PMID: 29992634) J Intensive Care Med. 2006 Jan-Feb;21(1):40-6. (PMID: 16698743) BMJ. 2003 Aug 16;327(7411):361. (PMID: 12919984) Intensive Care Med. 2007 Jun;33(6):1055-9. (PMID: 17342519) Anaesthesia. 2017 Mar;72(3):328-334. (PMID: 27981565) JAMA. 2001 Aug 8;286(6):700-7. (PMID: 11495620) Ann Surg. 1985 Dec;202(6):766-70. (PMID: 3935062) Indian J Anaesth. 2012 Jul;56(4):376-81. (PMID: 23087461) J Hosp Med. 2017 Aug;12(8):646-651. (PMID: 28786431) BMJ. 2013 Nov 11;347:f6570. (PMID: 24217269) Sci Rep. 2021 Mar 24;11(1):6726. (PMID: 33762662) J Cardiothorac Vasc Anesth. 2014 Apr;28(2):358-68. (PMID: 24008166) Sci Rep. 2020 Oct 16;10(1):17530. (PMID: 33067489) |
| فهرسة مساهمة: | Keywords: catheters; postoperative complications; vascular access devices |
| تواريخ الأحداث: | Date Created: 20231004 Latest Revision: 20231005 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10545227 |
| DOI: | 10.1590/1677-5449.202300702 |
| PMID: | 37790889 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1677-7301 |
|---|---|
| DOI: | 10.1590/1677-5449.202300702 |