Skip to main content
SpringerLink
Log in

Katheter in der Intensivmedizin

Die Intensivmedizin

Part of the book series: Springer Reference Medizin ((SRM))

  • 2053 Accesses

Zusammenfassung

Die moderne Intensivmedizin ist ohne sicheren Zugang zum intravasalen Kompartiment des Körpers nicht denkbar. Ein zentraler Venenkatheter, eine arterielle Kanüle und 1–2 periphervenöse Verweilkanülen sind heute Standard, um eine differenzierte pharmakologische Therapie und eine suffiziente hämodynamische Überwachung zu gewährleisten. Die diversen Katheter sind jedoch nur dann für den Patienten nützlich, wenn der Anwender ihre spezifischen Risiken kennt, die erhobenen Daten richtig interpretiert und durch ärztliche und pflegerische Sorgfalt katheterassoziierte Komplikationen vermeidet. Dazu sind gute anatomische Kenntnisse der Gefäßverläufe und der angrenzenden, zu respektierenden Strukturen ebenso erforderlich wie das pathophysiologische Wissen zur Dateninterpretation. Einen wichtigen Beitrag zu einer möglichst atraumatischen Anlage von intravasalen Kathetern kann dabei die Sonographie leisten. Aufgrund der zunehmenden Resistenz von Keimen gegenüber den vorhandenen Antiinfektiva kommt den hygienischen Maßnahmen bei Katheterinsertion und Katheterpflege im Sinne der Patientensicherheit (Infektionsprophylaxe!) eine entscheidende Bedeutung zu.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Literatur

  • Abi Antoun T, Palevsky P (2009) Selection of modality of renal replacement therapy. Semin Dial 22:108–113

    Article  PubMed  Google Scholar 

  • Albrecht DM, Ragaller M (1996) Beurteilung von Fehlergrößen von Druckmessystemen und deren klinische Relevanz. Anasthesiol Intensivmed Notfallmed Schmerzther 31(S1):2–5

    Article  Google Scholar 

  • Allcutt D, Lort D, McCollum C (1983) Final inline filtration for intravenous infusions: a prospective hospital study. Br J Surg 70:111–113

    Article  CAS  PubMed  Google Scholar 

  • Al-Senani F, Graffagnino C, Grotta J, Saiki R et al (2004) A prospective, multicenter pilot study to evaluate the feasibility and safety of using the CoolGard System and Icy catheter following cardiac arrest. Resuscitation 62:143–150

    Article  PubMed  Google Scholar 

  • Arshi B, Mack W, Emanuel B (2013) Invasive and noninvasive multimodal bedside monitoring in subarachnoid hemorrhage: a review of techniques an available data. Neurol Res Int. doi:10.11552013/987934

    PubMed Central  PubMed  Google Scholar 

  • Aslamy Z, Dewald CL, Heffner JE (1998) MRI of central venous anatomy: implications for central venous catheter insertion. Chest 114:820–826

    Article  CAS  PubMed  Google Scholar 

  • Baan A, Vermeulen H, van der Meulen J, Debossuyt P, Gouma D (2003) The effect of suprapubic catheterization versus transurethral catheterization after abdominal surgery on urinary tract infection: a randomized controlled trial. Dig Surg 20:290–295

    Article  CAS  PubMed  Google Scholar 

  • Barnett C, Vaduganathan M, Lan G, Butler J, Gheorghaide M (2013) Critical reappraisal of pulmonary artery catheterization and invasive haemodynamic assessment in acute heart failure. Exp Rev Cardiovasc Ther 11:417–424

    Article  CAS  Google Scholar 

  • Berk D, Gurkan Y, Kus A, Ulugol H, Solak M, Toker K (2013) Ultrasound guided radial arterial cannulation: long axis/in-plane versus short axis/out-of-plane approaches? J Clin Monit Comput 27:319–324

    Article  PubMed  Google Scholar 

  • Bertini P, Frediani M (2012) Ultrasound guided supraclavicular central vein cannulation in adults: a technical report. J Vasc Access 23, doi: 10.5301/jva5000088

    Google Scholar 

  • Boehne M, Jack T, Köditz H et al (2013) In-line filtration minimizes organ dysfunction: new aspects from a prospective, randomized, controlled trial. BMC Pediatir 13(21):1–8

    Google Scholar 

  • Boschin MG (2011) Ultraschall in der Aästhesie und Intensivmedizin -Ultraschall bei Gefäßpunktionen. Anasthesiol Intensivmed Notfallmed Schmerzther 46:202–210

    Article  PubMed  Google Scholar 

  • Boucher HW, Talbot GH, Bradley JS, Edwards JE, Gilbert D, Rice LB, Scheld M, Spellberg B, Bartlett J (2009) Bad bugs, no drugs: no ESKAPE! An update from the Infectious Diseases Society of America. Clin Infect Dis 48:1–12

    Article  PubMed  Google Scholar 

  • Canaud B (2009) Vascular access for continuous renal replacement therapy. In: Ronco C, Bellomo R, Kellum JA (Hrsg) Critical care nephrology. 2. Aufl. Saunders Elsevier, Philadelphia, S 1336–1341

    Google Scholar 

  • Carl M, Alms A, Braun JDA et al (2010) S3-Leitlinie zur intensivmedizinischen Versorgung herzchirurgischer Patienten Hämodynamisches Monitoring und Herz-Kreislauf. AWMF Register 001/016, 1–228

    Google Scholar 

  • Conners A, Speroff T, Dawson N, Thomas C, SUPPORT Investigators (1996) The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA 276:889–897

    Article  Google Scholar 

  • Cunnigham SC, Gallmaier E (2007) Supraclavicular approach for central venuos catheterization: „Safer, Simpler, Speedier“. J Am Coll Surg 205:514–516

    Article  Google Scholar 

  • Davis J, Rodriguez L, Quintana O et al (2013) Use of a warming catheter to achieve normothermia in large burns. J Burn Care Res 34:191–195

    Article  PubMed  Google Scholar 

  • Dearden NM (1991) Jugular bulb venous oxygen saturation in the management of severe head injury. Curr Opin Anaesthesiol 4:279–286

    Article  Google Scholar 

  • Dodge KL, Lynch C, Moore EE et al (2012) Use of ultrasound guideance improves central venous catheter insertion success rates among junior residents. J Ultrasound Med 1519:1526

    Google Scholar 

  • Eggimann P, Harbarth S, Constantin MN, Chevrolet JC, Pittet D (2000) Impact of a prevention strategy targeted at vascular-access care on. Lancet 355:1864–1868

    Article  CAS  PubMed  Google Scholar 

  • Gastmeier P, Geffers C, Brandt C, Zuscheid et al (2006) Effectiveness of a nationwide nosocomial infection surveillance system for reducing nosocomial infections. J Hosp Infect 64:16–22

    Article  CAS  PubMed  Google Scholar 

  • Ge X, Cavalazzi R, Li C et al (2012) Central venous access sites for the prevention of venous thrombosis, stenosis and infection. Cochrane Database Syst Rev CD004084

    Google Scholar 

  • Gonzales-Sinde Reig A (2010) Richtlinie 2010/32/EU des Rates Zur Vermeidung von Verletzungen durch scharfe/spitze Instrumente im Krankenhaus und Gesundheitssektor. Amtsblatt der EU L134:66–72

    Google Scholar 

  • Guerin K, Wagner J, Rains K, Bessesen M (2013) Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle. Am J Infect Control 38(430):433

    Google Scholar 

  • Healy EF, Walsh C, Cotter A, Walsh S (2012) Suprapubic compared with transurethral bladder catheterization for gynecologic surgery: a systematic and meta-analysis. Obstet Gynecol 120:678–687

    Article  PubMed  Google Scholar 

  • Hind D, Calvert N, McWilliams R et al (2003) Ultrasonic locating devices for central cannulation: meta-analysis. BMJ 327:361–364

    Article  PubMed Central  PubMed  Google Scholar 

  • Hockenhull J, Dwan K, Smith G, Gamble C et al (2009) The clinical effectiveness of central venous catheters treated with anti-infective agents in preventing catheter-related bloodstream infections: a systemic review. Crit Care Med 37:702–712

    Article  CAS  PubMed  Google Scholar 

  • Jack T, Boehne M, Brent B, Hoy L, Köditz H et al (2013) In-line filtration reduces severe complications and length of stay on pediatric intensive care unit: a prospective, randomized, controlled trial. Intensive Care Med 38:1008–1016

    Article  Google Scholar 

  • Jeong S, Lee J, Song J, Lee S (2013) Effect of central line bundle on central-associated bloodstream infections in intensive care units. Am J Infect Control 1–7

    Google Scholar 

  • Karakitsos D, Labropoulos N, DE Groot E et al (2006) Real-time ultrasound-guided catheterization of the jugular vein: a prospective comparison with the landmark technique in critical care patients. Crit Care 10:162–170

    Article  Google Scholar 

  • Kommission für Krankenhaushygiene und Infektionsprävention beim RKI (2002) Prävention Gefäßkatheter assoziierter Infektionen. Bundesgesundheitsblatt 45:907–924

    Article  Google Scholar 

  • Kusminsky RE (2007) Complications of central venous catheterization. J Am Coll Surg 204:681–696

    Article  PubMed  Google Scholar 

  • Labeau S, Vandijk D, Rello J et al (2009) Centers for Disease Control and Prevention guidelines for preventing central venous catheter-related: results of a knowledge test among 3405 european intensive care nurses. Crit Care Med 37:320–323

    Article  PubMed  Google Scholar 

  • Lamperti M, Bodenham A, Pittiruti M et al (2012) International evidence-based recommendations on ultrasound guided vascular acces. Intensive Care Med 38:1105–1117

    Article  PubMed  Google Scholar 

  • Leidel B, Kirchhoff C, Bogner V, Braunstein V, Biberthaler P, Kanz KG (2012) Comparison of intraosseous versus central venous vascular acces in adults under resuscitation in the emergency department with inaccessible peripheral veins. Resuscitation 83:40–45

    Article  PubMed  Google Scholar 

  • Lissauer M, Leekha S, Preas M, Thom KA, Johnson S (2012) Risk factors for central line associated bloodstream infections in the era of best practice. J Trauma Acute Care Surg 72:1174–1180

    PubMed  Google Scholar 

  • Litton E, Delaney A (2013) Prophylactic intraaortic ballon counterpulsation in high-risk cardiac surgery: a survey of opinion and current practice. HSR Proc Intensive Care Cardiovasc Anesthesiol 5:33–39

    CAS  Google Scholar 

  • Longmate A, Ellis K, Boyle L et al (2011) Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf 20:174–180

    Article  PubMed  Google Scholar 

  • Maecken T, Grau T (2007) Ultrasound imaging in vascular access. Crit Care Med 35(S5):178–185

    Article  Google Scholar 

  • Marik PE, Flemmer M, Harrison W (2012) The risk of catheter-related infection with femoral venous catheters as compared to subclavia and internal jugular venous catheters: a systematic review of the literature and meta-analysis. Crit Care Med 40:2479–2485

    Article  PubMed  Google Scholar 

  • Marquis F, Ahern S, Leblance M (2009) Urinary tract infections in the intensive care unit. In: Ronco C, Bellomo R, Kellum JA (Hrsg) Critical care nephrology. 2. Aufl. Saunders Elsevier, Philadelphia, S 845–849

    Google Scholar 

  • McGee D, Gould MK (2003) Preventing complications of central venous catheterization. N Engl J Med 348:1123–1133

    Article  PubMed  Google Scholar 

  • McLaws M, Burrel AR (2012) Zero risk for central line associated bloodstream infection: are we there yet? Crit Care Med 40(388):393

    Google Scholar 

  • Miller SE, Maragakis LL (2012) Central line-associated bloodstream infection prevention. Curr Opin Infect Dis 25:412–422

    Article  PubMed  Google Scholar 

  • Mouraou N, Lamperti M, Kelly LJ et al (2013) Evidence-based consensus on the insertion of central venous acces devices: definition of minimal requirements for training. Br J Anaesth 110:347–356

    Article  Google Scholar 

  • Murr R, Schürer L, Polasek J (1996) Continuous fiberoptic monitoring of oxygen saturation in cerebral veins in severe craniocerebral trauma – experiences and results. Anästesiol Intensivmed Notfallmed Schmerzther 31:29–36

    Article  CAS  Google Scholar 

  • National Institute for Clinical Excellence (2002) Guidance on the use of ultrasound locating devices for placing venous catheters. NICE Technology Appraisal 49

    Google Scholar 

  • Nayeemuddin M, Pherwani AD, Asquith JR (2013) Imaging and management of complications of central venous catheters. Clin Radiol 68:529–544

    Article  CAS  PubMed  Google Scholar 

  • Nessler R (1976) The supraclavicular approach to the V. Anonyma. Anaesthesist 25:303–307

    CAS  PubMed  Google Scholar 

  • O’Grady N, Alexander M, Burns LA, Dellinger P et al (2011) Summary of recomendations: guidelines for the prevention of intravascular catheter-related Infections. Clin Infect Dis 52:1087–1099

    Article  PubMed Central  PubMed  Google Scholar 

  • Onders R, Shenk R, Stellato T (2006) Long-term central venous catheters: size and location do matter. Am J Surg 191:396–399

    Article  PubMed  Google Scholar 

  • Pargger H (2004) Intravasale Katheter und Monitoring. In: Burchardi R, Larsen R, Schüttler J (Hrsg) Die Intensivmedizin. Springer Medizin, Heidelberg, S 109–129

    Chapter  Google Scholar 

  • Pawlik MT, Kutz N, Keyl C, Lemberger P, Hansen E (2004) Central venous catheter placement: comparison of the intravascular guidewire and the fluid column electrocardiograms. Eur J Anaesthesiol 21:594–599

    Article  CAS  PubMed  Google Scholar 

  • Pittiruti M, Malerba M, Carriero C, Tazza L, Gui D (2000) Which is the easeast and safest technique for central venuos acces? A retrospective survey of more than 5400 cases. J Vasc Access 1:100–107

    CAS  PubMed  Google Scholar 

  • Polderman K (2004) Applcation of therapeutic hypothermia in the ICU: opportunities and pitfalls of a promising treatment madolity. Part1: indications and evidence. Intensive Care Med 30:556–575

    Article  PubMed  Google Scholar 

  • Porter JM, Page R, Phelan D (1997) Ventricular perforation associated with central venous introducerdilator systems. Can J Anaesth 44:317–320

    Article  CAS  PubMed  Google Scholar 

  • Rajaram SS, Desai NK, Kalra A et al (2013) Pulmonary artery catheters for adult patients in the intensive care. Cochrane Database Syst Rev CD003408. doi: 10.1002/14651858.CD003408.pub3

    Google Scholar 

  • Ratnaval C, Renwick P, Farouk R, Monson J, Lee P (1996) Suprapubic versus transurethral catheterisation of males undergoing pelvic colorectal surgery. Int J Colorectal Dis 11:177–179

    Article  CAS  PubMed  Google Scholar 

  • Reuber M, Dunkley LA, Turton E, Bamford JM (2002) Stroke after internal jugular venous cannulation. Acta Neurol Scand 105:235–239

    Article  CAS  PubMed  Google Scholar 

  • Rosenthal V, Bijie H, Maki DG et al (2012) International Nosocomial Infection Control Consortium (INICC) report data summary of 36 countries for 2004- 2009. Am J Infect Control 40:396–407

    Article  PubMed  Google Scholar 

  • Rupp M, Fitzgerald T, Marion N et al (2004) Effect of silver-coated urinary catheters: efficacy, cost-effectiveness, and antimicrobial resistence. Am J Infect Control 32:445–450

    Article  PubMed  Google Scholar 

  • Santini F, Gatti G, Borghetti V, Oppido G, Mazzucco A (1999) Routine left atrial catheterization for the post-operative management of cardiac surgical patients: is the risk justified? Eur J Cardiothorac Surg 16:218–221

    Article  CAS  PubMed  Google Scholar 

  • Scheer BV, Perel A, Pfeiffer U (2002) Clinical review: complications and risk factors of peripheral arterial catheters used for hemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care 6:198–204

    Article  Google Scholar 

  • Scheiermann P, Seeger FH, Breitkreutz R (2010) Ultraschallgestützte zentrale Venenpunktion bei Erwachsenen und Kindern. Anaesthesist 59:53–61

    Article  CAS  PubMed  Google Scholar 

  • Schumm K, Lam T (2008) Types of urethral ctheters for management of short-term voiding problems in hospitalized adults: a short version cochrane review. Neurourol Urodyn 27:738–746

    Article  CAS  PubMed  Google Scholar 

  • Schummer W, Sakka SG, Hüttemann E, Reinhart K, Schummer C (2009) Ultraschall und Lagekontrolle bei der Anlage zentraler Venenkatheter. Anaesthesist 58:677–685

    Article  CAS  PubMed  Google Scholar 

  • Schwann N, Hillel Z, Hoeft A, Barash P (2011) Lack of effectiveness of the pulmonary artery catheter in cardiac surgery. Anesth Analg 113:994–1002

    Article  PubMed  Google Scholar 

  • Seldinger SI (1953) Catheter replacement of the needle in percutaneous arteriography. Acta Radiol 39:368–376

    Article  CAS  PubMed  Google Scholar 

  • Shah M, Hasselblad V, Stevenson L, O'Conner C, Sopko G, Califf R (2005) Impact of the pulmonary artery catheter in critically ill patients. JAMA 294:1664–1670

    Article  CAS  PubMed  Google Scholar 

  • Srinivasan A, Wise M, Bell M et al (2011) Vital signs: central line-associated blood stream infections – United States 2001, 2008, 2009. MMWR Morb Mort Weekly Rep 60:243–248

    Google Scholar 

  • Tecklenburg F, Cochran JB, Webb JB et al (2010) Central venous access via external jugular vein in children. Pediatr Emerg Care 26:554–557

    Article  PubMed  Google Scholar 

  • The Hyperthermia After Cardiac Arrest Group (2002) Mild therpeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med 346:549–556

    Article  Google Scholar 

  • Theologou T, Bashir M, Rengarajan A, Khahn O et al (2011) Preoperative intra aortic ballon pumps in patients undergoing coronary artery bypass grafting. Cochrane Database Syst Rev. doi:10.1002/14651858.CD004472.pub.3

    PubMed  Google Scholar 

  • Thiel H, Zeymer U, Neumann F et al (2012) Intraaortic ballon support for myocardial infarction with cardiogenic shock. N Engl J Med 367:1287–1296

    Article  Google Scholar 

  • Timsit JF, Mimoz O, Mourviller B et al (2012) Randomized controlled trial of chlorhexidine dressing and highly adhesive dressing for preventing catheter-related infections in critically ill adults. Am J Respir Crit Care Med 186:1272–1278

    Article  CAS  PubMed  Google Scholar 

  • Tiwari M, Charlton M, Anderson J, Hermsen E, Rupp M (2012) Inappropriate use of urinary catheters: a orospective observational study. Am J Infect Control 40:51–54

    Article  PubMed  Google Scholar 

  • van den Hoogen A, Krediet T, Uiterwaal C, Bolenius J, Gerards L, Fleer A (2006) In-line filters in central venous catheters in a neonatal intensive care unit. J Perinat Med 34:71–74

    PubMed  Google Scholar 

  • Vincent JL, Rello J, Marshall JC, Silva E et al (2009) International study of the prevalence and outcomes of infection in intensive care units. JAMA 302:2323–2329

    Article  CAS  PubMed  Google Scholar 

  • Vincent JL, Rhodes A, Perel A et al (2013) Clinical review: update on hemodynamic monitoring – a consensus of 16. Crit Care 15:229–235

    Article  Google Scholar 

  • Vinsonneau C, Ridel C, Dhainaut JF (2009) Indications for and contraindications to intermittent hemodialysis in critically ill patients. In: Ronco C, Bellomo R, Kellum JA (Hrsg) Critical care nephrology. 2. Aufl. Saunders Elsevier, Philadelphia, S 1239–1243

    Google Scholar 

  • Wigmore TJ, Smythe J, Hacking M, Raobaikady R, MacCallum N (2007) Effect of the implementation of NICE guidelines for ultrasound guidance on the complication rates associated with central venous catheter placement. Br J Anaesth 99:662–665

    Article  CAS  PubMed  Google Scholar 

  • Wilhelm W, Larsen R, Pargger H, Ziegeler S, Merzlufft F et al (2009) Hämydynamisches und respiratorisches Monitoring, intravasale Katheter. In: Burchardi H et al (Hrsg) Die Intensivmedizin. 11. Aufl. Springer, Berlin, S 147–179, Kap. 15

    Google Scholar 

  • Wu SY, Ling Q, Cao L, Wang J, Xu MX, Zeng WA (2013) Real-time two-dimensional ultrasound guidance for central venous cannulation: a meta-analysis. Anesthesiology 118:361–375

    Article  PubMed  Google Scholar 

  • Yoffa D (1965) Supraclavicular subclavian venopuncture catheterization. Lancet 2:614–617

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland

    M. Ragaller & O. Vicent

Authors
  1. M. Ragaller
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. O. Vicent
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Ragaller .

Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, RWTH Aachen Universitätsklinikum Aachen, Aachen, Germany

    Gernot Marx

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Germany

    Elke Muhl

  3. Dir. der Klinik fuer Anaesthesie Intensivmed. und Schmerzther., Frankfurt, Hessen, Germany

    Kai Zacharowski

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Berlin Heidelberg

About this entry

Cite this entry

Ragaller, M., Vicent, O. (2015). Katheter in der Intensivmedizin. In: Marx, G., Muhl, E., Zacharowski, K. (eds) Die Intensivmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54675-4_35-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54675-4_35-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-54675-4

  • eBook Packages: Springer Referenz Medizin

Publish with us

Policies and ethics

Chapter history

  1. Latest

    Katheter in der Intensivmedizin
    Published:
    21 October 2022

    DOI: https://doi.org/10.1007/978-3-642-54675-4_35-2

  2. Original

    Katheter in der Intensivmedizin
    Published:
    28 March 2015

    DOI: https://doi.org/10.1007/978-3-642-54675-4_35-1

Search

Navigation