Complications of central venous catheter insertion in a teaching hospital

Detalhes bibliográficos
Autor(a) principal: Comerlato,Pedro Henrique
Data de Publicação: 2017
Outros Autores: Rebelatto,Taiane Francieli, Santiago de Almeida,Felipe Augusto, Klein,Luiza Birck, Boniatti,Marcio Manozzo, Schaan,Beatriz D., Rados,Dimitris Varvaki
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000700613
Resumo: Summary Introduction: Central venous catheters are fundamental to daily clinical practice. This procedure is mainly performed by residents, often without supervision or structured training. Objective: To describe the characteristics of central venous catheterization and the complication rate related to it. Method: Retrospective cohort study. Adult patients undergoing central venous catheter insertion out of the intensive care unit (ICU) of a teaching hospital were selected from March 2014 to February 2015. Data were collected from medical charts using an electronic form. Clinical and laboratory characteristics from patients, procedure characteristics, and mechanical and infectious complications rates were assessed. Patients with and without complications were compared. Results: Three hundred and eleven (311) central venous catheterizations were evaluated. The main reasons to perform the procedure were lack of peripheral access, chemotherapy and sepsis. There were 20 mechanical complications (6% of procedures). Arterial puncture was the most common. Procedures performed in the second semester were associated with lower risk of complications (odds ratio 0.35 [95CI 0.12-0.98; p=0.037]). Thirty-five (35) catheter-related infection cases (11.1%) were reported. They were related to younger patients and procedures performed by residents with more than one year of training. Procedures performed after the first trimester had a lower chance of infection. Conclusion: These results show that the rate of mechanical complications of central venous puncture in our hospital is similar to the literature, but more attention should be given to infection prevention measures.
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spelling Complications of central venous catheter insertion in a teaching hospitalcentral venous catheterscatheter-related infectionsvascular access devicespneumothoraxultrasonographySummary Introduction: Central venous catheters are fundamental to daily clinical practice. This procedure is mainly performed by residents, often without supervision or structured training. Objective: To describe the characteristics of central venous catheterization and the complication rate related to it. Method: Retrospective cohort study. Adult patients undergoing central venous catheter insertion out of the intensive care unit (ICU) of a teaching hospital were selected from March 2014 to February 2015. Data were collected from medical charts using an electronic form. Clinical and laboratory characteristics from patients, procedure characteristics, and mechanical and infectious complications rates were assessed. Patients with and without complications were compared. Results: Three hundred and eleven (311) central venous catheterizations were evaluated. The main reasons to perform the procedure were lack of peripheral access, chemotherapy and sepsis. There were 20 mechanical complications (6% of procedures). Arterial puncture was the most common. Procedures performed in the second semester were associated with lower risk of complications (odds ratio 0.35 [95CI 0.12-0.98; p=0.037]). Thirty-five (35) catheter-related infection cases (11.1%) were reported. They were related to younger patients and procedures performed by residents with more than one year of training. Procedures performed after the first trimester had a lower chance of infection. Conclusion: These results show that the rate of mechanical complications of central venous puncture in our hospital is similar to the literature, but more attention should be given to infection prevention measures.Associação Médica Brasileira2017-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000700613Revista da Associação Médica Brasileira v.63 n.7 2017reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.63.07.613info:eu-repo/semantics/openAccessComerlato,Pedro HenriqueRebelatto,Taiane FrancieliSantiago de Almeida,Felipe AugustoKlein,Luiza BirckBoniatti,Marcio ManozzoSchaan,Beatriz D.Rados,Dimitris Varvakieng2017-09-25T00:00:00Zoai:scielo:S0104-42302017000700613Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2017-09-25T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Complications of central venous catheter insertion in a teaching hospital
title Complications of central venous catheter insertion in a teaching hospital
spellingShingle Complications of central venous catheter insertion in a teaching hospital
Comerlato,Pedro Henrique
central venous catheters
catheter-related infections
vascular access devices
pneumothorax
ultrasonography
title_short Complications of central venous catheter insertion in a teaching hospital
title_full Complications of central venous catheter insertion in a teaching hospital
title_fullStr Complications of central venous catheter insertion in a teaching hospital
title_full_unstemmed Complications of central venous catheter insertion in a teaching hospital
title_sort Complications of central venous catheter insertion in a teaching hospital
author Comerlato,Pedro Henrique
author_facet Comerlato,Pedro Henrique
Rebelatto,Taiane Francieli
Santiago de Almeida,Felipe Augusto
Klein,Luiza Birck
Boniatti,Marcio Manozzo
Schaan,Beatriz D.
Rados,Dimitris Varvaki
author_role author
author2 Rebelatto,Taiane Francieli
Santiago de Almeida,Felipe Augusto
Klein,Luiza Birck
Boniatti,Marcio Manozzo
Schaan,Beatriz D.
Rados,Dimitris Varvaki
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Comerlato,Pedro Henrique
Rebelatto,Taiane Francieli
Santiago de Almeida,Felipe Augusto
Klein,Luiza Birck
Boniatti,Marcio Manozzo
Schaan,Beatriz D.
Rados,Dimitris Varvaki
dc.subject.por.fl_str_mv central venous catheters
catheter-related infections
vascular access devices
pneumothorax
ultrasonography
topic central venous catheters
catheter-related infections
vascular access devices
pneumothorax
ultrasonography
description Summary Introduction: Central venous catheters are fundamental to daily clinical practice. This procedure is mainly performed by residents, often without supervision or structured training. Objective: To describe the characteristics of central venous catheterization and the complication rate related to it. Method: Retrospective cohort study. Adult patients undergoing central venous catheter insertion out of the intensive care unit (ICU) of a teaching hospital were selected from March 2014 to February 2015. Data were collected from medical charts using an electronic form. Clinical and laboratory characteristics from patients, procedure characteristics, and mechanical and infectious complications rates were assessed. Patients with and without complications were compared. Results: Three hundred and eleven (311) central venous catheterizations were evaluated. The main reasons to perform the procedure were lack of peripheral access, chemotherapy and sepsis. There were 20 mechanical complications (6% of procedures). Arterial puncture was the most common. Procedures performed in the second semester were associated with lower risk of complications (odds ratio 0.35 [95CI 0.12-0.98; p=0.037]). Thirty-five (35) catheter-related infection cases (11.1%) were reported. They were related to younger patients and procedures performed by residents with more than one year of training. Procedures performed after the first trimester had a lower chance of infection. Conclusion: These results show that the rate of mechanical complications of central venous puncture in our hospital is similar to the literature, but more attention should be given to infection prevention measures.
publishDate 2017
dc.date.none.fl_str_mv 2017-07-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/1806-9282.63.07.613
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.63 n.7 2017
reponame:Revista da Associação Médica Brasileira (Online)
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