Indian Journal of Anaesthesia  
About us | Editorial board | Search | Ahead of print | Current Issue | Past Issues | Instructions
Home | Login  | Users Online: 268  Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size    


CLINICAL INVESTIGATION
Year : 2012  |  Volume : 56  |  Issue : 4  |  Page : 376-381

Mechanical and infectious complications of central venous catheterizations in a tertiary-level intensive care unit in northern India


1 Department of Anaesthesia, Gian Sagar Medical College and Hospital, Patiala, Punjab, India
2 Department of Anaesthesiology and Critical Care, Christian Medical College, Ludhiana, Punjab, India
3 Department of Anaesthesiology, Pushpagiri Medical College and Hospital, Thiruvella, Kerala, India

Correspondence Address:
Ashu Sara Mathai
Department of Anaesthesiology and Critical Care, Christian Medical College, Ludhiana, Punjab - 141 008
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.100823

Rights and Permissions

Background: Central venous catheters (CVC) are associated with mechanical, infectious and thrombotic complications. Aims: To study (a) the incidence of mechanical and infectious complications of CVC insertions and to compare, (b) the rates of these complications between the internal jugular venous (IJV) and the subclavian venous (SCV) accesses. Settings and Design: An adult intensive care unit of a tertiary care hospital. Prospective, observational study. Methods: All landmark-based CVC insertions performed between 1 st October 2008 and 30 th September 2009 were prospectively studied for mechanical and infectious complications. Statistical Analysis: SPSS software for Windows, Version SPSS 16.0, and Epi Info (3.5.1) software. Results: Four hundred and eighty central venous catheterizations were studied (IJV route, 241 and SCV route, 239). Mechanical complications occurred in 86 patients (17.9%, bleeding complications-48, catheter-related complications-27 and pneumothorax-11). The IJV route was associated with a significantly higher incidence of bleeding complications (P=0.009). Forty-seven patients had infectious complications (9.79%), like exit site infections (n=17), catheter tip infections (n=22) and catheter-related bloodstream infections (CRBSIs) (n=8). The risks of infectious complications increased significantly if the CVC was in situ for longer than 7 days (P=0.009), especially with IJV cannulae. The incidence density of CVC tip infections was 7.67 per 1000 catheter days and of CRBSIs was 2.79 per 1000 catheter days. Conclusions: Bleeding complications occurred more frequently with IJV insertions and infectious complications occurred more commonly in cannulae that were left in situ for longer than 7 days.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2644    
    Printed87    
    Emailed1    
    PDF Downloaded636    
    Comments [Add]    
    Cited by others 1    

Recommend this journal