Surgical emphysema after endotracheal intubation and central venous catheterisation

2021 ◽  
Author(s):  
Muhammad Shoyab
Keyword(s):  
Endotracheal Intubation ◽  
Central Venous ◽  
Central Venous Catheterisation ◽  
Surgical Emphysema

scholarly journals Arteriovenous fistula formation after central venous catheterisation

2019 ◽  
Vol 12 (7) ◽  
pp. e230429
Author(s):  
Michael Omar ◽  
William Kogler ◽  
Christopher Izzo ◽  
Lisa Jones
Keyword(s):  
Arteriovenous Fistula ◽  
Fistula Formation ◽  
Central Venous ◽  
Central Venous Catheterisation

scholarly journals Mechanical complications of central venous catheterisation in trauma patients

2017 ◽  
Vol 99 (5) ◽  
pp. 390-393 ◽  
Author(s):  
J Odendaal ◽  
VY Kong ◽  
B Sartorius ◽  
TY Liu ◽  
YY Liu ◽  
...  
Keyword(s):  
Complication Rate ◽  
Guide Wire ◽  
Junior Doctors ◽  
Trauma Patients ◽  
Mechanical Complication ◽  
Central Venous ◽  
Central Venous Catheterisation ◽  
Mechanical Complications ◽  
Trauma Service ◽  
Catheter Dislodgement

INTRODUCTIONCentral venous catheterisation (CVC) is a commonly performed procedure in a wide variety of hospital settings and is associated with appreciable morbidity. There is a paucity of literature focusing on mechanical complications specifically in the trauma setting. The aim of our study was to determine the spectrum of mechanical complications in a high-volume trauma centre in a developing world setting where ultrasound guidance was not available.METHODSA retrospective study was performed analysing data from a four-year period at the Pietermaritzburg Metropolitan Trauma Service in South Africa.RESULTSA total of 178 mechanical complications (18%) occurred in 1,015 patients undergoing CVC: 117 pneumothoraces, 25 malpositions, 18 catheter dislodgements, 14 arterial cannulations, one air embolism, one chylothorax, one pleural cannulation and one retained guide-wire. The internal jugular vein (IJV) approach was associated with a higher overall complication rate than the subclavian vein (SCV) approach (24% vs. 13%, p<0.001). Pneumothorax (73% vs. 57%, p<0.001) and arterial cannulation (15% vs. 0%, p<0.001) were more common with the IJV. Catheter dislodgement (21% vs. 0%, p<0.001) was more common with the SCV. Junior doctors performed 66% of the CVCs and this was associated with a significantly higher complication rate (20% vs. 12%, p<0.001).CONCLUSIONSCVC carries appreciable morbidity, with pneumothorax being the most frequent mechanical complication. The SCV was the most commonly used approach at our institution. The majority of CVCs were performed by junior doctors and this was associated with a considerable complication rate.

Guidewire retention following central venous catheterisation: A human factors and safe design investigation

2014 ◽  
Vol 26 (1) ◽  
pp. 23-37 ◽  
Author(s):  
Tim Horberry ◽  
Yi-Chun Teng ◽  
James Ward ◽  
Vishal Patil ◽  
P. John Clarkson
Keyword(s):  
Human Factors ◽  
Central Venous ◽  
Central Venous Catheterisation
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