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CVC Complications

cvc cvc complications invasive device patient safety safety May 02, 2024
Central Venous Catheters (CVC) help us keep patients safe in many ways, but they are not without risk. It’s important to know the immediate, early and late complications of CVCs so your team can minimise patient injury. ⏱ ✅
 
Here’s an outline of the various complications associated with CVCs:
 
👉🏽 Immediate (at the time of insertion)
🔺Pneumothorax
🔺Arterial injury +/- dilation
🔺Haemothorax
🔺Arrhythmia
🔺Air embolus
🔺Failure of insertion
🔺Accidental retained guidewire in patient
 
👉🏽 Early (Hours to days)
🔺Cardiac tamponade
🔺Pneumothorax
🔺Blocked lumens
🔺Unrecognised incorrect placement
 
👉🏽 Late (days)
🔺Infection/sepsis
🔺Catheter fracture
🔺Vascular injury through erosion
🔺Vein scarring and stenosis
🔺Thrombosis
 
With this in mind, here are our 10 steps to reducing risk with CVCs:
 
1️⃣ Ensure an appropriately trained operator is performing the procedure
2️⃣ Use ultrasound every time
3️⃣ Ensure a strict aseptic technique
4️⃣ Adequate positioning to improve venous filling
5️⃣ Ensure ANZCA standard monitoring during procedure
6️⃣ Aspirate and flush all lumens
7️⃣ Ensure appropriate device aftercare
8️⃣ Confirm position of catheter before using device
9️⃣ Avoid insertion with an awake, uncooperative patient
🔟 Remove the device if it is no longer needed
 
Build knowledge ✅
Improve safety ✅
 
Ref: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613416/

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