Intensive Care Medicine

, Volume 28, Issue 1, pp 1–17 | Cite as

Central venous catheter use

Part 1: Mechanical complications
  • Kees H. Polderman
  • Armand R. Girbes
Review

Abstract

Central venous catheters are being increasingly used in both intensive care units and general wards. Their use is associated with both mechanical and infectious complications. This review will focus on short- and medium-term mechanical complications of catheter placement; infectious complications will be discussed in a separate article. The most important risk factors are patient characteristics (morbidity, underlying disease and local anatomy), the expertise of the doctor performing the procedure, and nursing care. Placement aids, such as ultrasound-guided catheter insertion, are also discussed.

Central venous catheters Mechanical complications Risk factors Location Material Preventive strategy Literature review 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Kees H. Polderman
    • 1
  • Armand R. Girbes
    • 1
  1. 1.Department of Intensive Care, University Medical Centre, Vrije Universiteit, PO Box 7057, 1007 MB AmsterdamThe Netherlands

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