Although complications of central venous cathter insertion have deceased with the use of ultrasound but still exist. What is the current reported complication rate ?
Thank you!!
SS
It takes a lot of malpractice to hit an artery instead of a vein identified by ultrasound Doppler. I believe this probability is close to zero
"It takes a lot of malpractice to hit an artery instead of a vein identified by ultrasound Doppler. I believe this probability is close to zero"
Carlos don't be so sure. As a vascular surgeon I have put sutures many times on ruptured subclavian, femoral, iliac ..... (you name it) arteries after central venous line misplacement. :-D. Now seriuosly - the complication rate is estimated on 1% total, with US guidance it is said to be lower however there is no strong evidence (besides logical). … Read more
Szaniewski Krzysztof Impressive! It should be close to zero ... insignificante!
literature is variable- my observation - its more among residents who are under training and doing it under the supervision of another resident ( so-called certified resident).
But one of my very good surgeon friend has inserted a central line in the aorta- so yes it can happen and the rate can vary..
thank you for participating in the discussion!!
ss
It also depends on the amount of training and skill the provider has with US. In skilled hands US should bring the rate of inadvertent arterial puncture down below the rate of blind insertion techniques. There is anatomic variability of the vessels that you just can't know about without US.
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