OBJECTIVE: To determine the frequency of clinically important complications of femoral venous catheters. DESIGN: Prospective survey of major and minor complications. SETTING: A mixed medical/surgical ICU in a university hospital. PATIENTS: One hundred twenty-three patients admitted to the ICU who underwent femoral venous catheterization over a 2-yr period. MEASUREMENTS AND MAIN RESULTS: There were 150 catheters inserted in 123 patients for a mean duration of 6.4 days. There were no major complications including catheter-related sepsis. Minor complications consisted of arterial puncture (9.3%), local bleeding (10%), and local inflammation (4.7%). Critical care fellows had a significantly lower rate (6%) of insertion complications than interns or medical students (16%). We did not specifically look at the frequency of deep venous thrombosis. CONCLUSIONS: Femoral venous catheterization offers an alternative site of insertion to the subclavian and jugular veins for central venous access in the critically ill. The occurrence rate of clinically important complications is acceptably low.
OBJECTIVE: To determine the frequency of clinically important complications of femoral venous catheters. DESIGN: Prospective survey of major and minor complications. SETTING: A mixed medical/surgical ICU in a university hospital. PATIENTS: One hundred twenty-three patients admitted to the ICU who underwent femoral venous catheterization over a 2-yr period. MEASUREMENTS AND MAIN RESULTS: There were 150 catheters inserted in 123 patients for a mean duration of 6.4 days. There were no major complications including catheter-related sepsis. Minor complications consisted of arterial puncture (9.3%), local bleeding (10%), and local inflammation (4.7%). Critical care fellows had a significantly lower rate (6%) of insertion complications than interns or medical students (16%). We did not specifically look at the frequency of deep venous thrombosis. CONCLUSIONS:Femoral venous catheterization offers an alternative site of insertion to the subclavian and jugular veins for central venous access in the critically ill. The occurrence rate of clinically important complications is acceptably low.
Authors: E Tacconelli; M Tumbarello; M Pittiruti; F Leone; M B Lucia; R Cauda; L Ortona Journal: Eur J Clin Microbiol Infect Dis Date: 1997-03 Impact factor: 3.267
Authors: Bart L De Keulenaer; Adrian Regli; Wojciech Dabrowski; Vaxtang Kaloiani; Zsolt Bodnar; Javier Izura Cea; A Andrey Litvin; Wendy A Davis; Anne-Marie Palermo; Jan J De Waele; Manu L L N G Malbrain Journal: Intensive Care Med Date: 2011-07-08 Impact factor: 17.440
Authors: David R Vinson; Dustin W Ballard; Matthew D Stevenson; Dustin G Mark; Mary E Reed; Adina S Rauchwerger; Uli K Chettipally; Steven R Offerman Journal: West J Emerg Med Date: 2014-02