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Complications of central venous catheter insertion in a teaching hospital.
Comerlato, Pedro Henrique; Rebelatto, Taiane Francieli; Santiago de Almeida, Felipe Augusto; Klein, Luiza Birck; Boniatti, Marcio Manozzo; Schaan, Beatriz D; Rados, Dimitris Varvaki.
Afiliação
  • Comerlato PH; Internal Medicine Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
  • Rebelatto TF; Internal Medicine Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
  • Santiago de Almeida FA; Internal Medicine Service, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
  • Klein LB; Faculdade de Medicina de Porto Alegre, Universidade Federal do Rio Grande do Sul (FAMED-UFRGS), Porto Alegre, RS, Brazil.
  • Boniatti MM; Intensive Care Service, HCPA, Porto Alegre, RS, Brazil.
  • Schaan BD; Faculdade de Medicina de Porto Alegre, Universidade Federal do Rio Grande do Sul (FAMED-UFRGS), Porto Alegre, RS, Brazil.
  • Rados DV; Endocrine Division, HCPA, Porto Alegre, RS, Brazil.
Rev Assoc Med Bras (1992) ; 63(7): 613-620, 2017 Jul.
Article em En | MEDLINE | ID: mdl-28977087
INTRODUCTION: Central venous catheters are fundamental to daily clinical practice. This procedure is mainly performed by residents, often without supervision or structured training. OBJECTIVE: To describe the characteristics of central venous catheterization and the complication rate related to it. METHOD: Retrospective cohort study. Adult patients undergoing central venous catheter insertion out of the intensive care unit (ICU) of a teaching hospital were selected from March 2014 to February 2015. Data were collected from medical charts using an electronic form. Clinical and laboratory characteristics from patients, procedure characteristics, and mechanical and infectious complications rates were assessed. Patients with and without complications were compared. RESULTS: Three hundred and eleven (311) central venous catheterizations were evaluated. The main reasons to perform the procedure were lack of peripheral access, chemotherapy and sepsis. There were 20 mechanical complications (6% of procedures). Arterial puncture was the most common. Procedures performed in the second semester were associated with lower risk of complications (odds ratio 0.35 [95CI 0.12-0.98; p=0.037]). Thirty-five (35) catheter-related infection cases (11.1%) were reported. They were related to younger patients and procedures performed by residents with more than one year of training. Procedures performed after the first trimester had a lower chance of infection. CONCLUSION: These results show that the rate of mechanical complications of central venous puncture in our hospital is similar to the literature, but more attention should be given to infection prevention measures.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cateterismo Venoso Central / Infecções Relacionadas a Cateter / Cateteres Venosos Centrais Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cateterismo Venoso Central / Infecções Relacionadas a Cateter / Cateteres Venosos Centrais Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil