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Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 147-150

Mechanical complications of central venous catheter insertions

Department of General Surgery, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. M K Nikhil
Department of General Surgery, Government Medical College, Kozhikode, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_28_20

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Introduction: Central venous pressure (CVP) catheterisation is an important procedure in emergencies. The complications associated with it are common. This article aimed to study the rate of mechanical complications of CVP catheter insertion in 201 patients. Materials and Methods: This was a prospective longitudinal study. Patients were aged above 13 years of both sexes who had CVP catheter introduced. Patients with complications before the procedure and those who had structural malformation of chest wall, bleeding disorders, etc., were excluded from the study. Consecutive sampling was performed. Data were analysed using Chi-square test for testing the strength of association in SPSS version 19.0. Results: The common indication for CVP line was lack of peripheral access (57.2%). Majority had right-sided (81.6%) catheter insertion and 56.7% had multiple percutaneous punctures. A statistically significant association was found in patients with body mass index >25 kg/m2, in the occurrence of multiple percutaneous punctures (P = 0.04). Multiple punctures were associated with complications (P < 0.05). We observed 12.9% of mechanical complications – failure to place the catheter (8.5%), arterial puncture (6%), pneumothorax (2%) and haematoma (1%). Multiple complications were observed in 3.9% of patients. Conclusions: Factors contributing to various complications were number of punctures, presence of comorbidities and female gender.

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