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Complications associated with peripheral or central routes for central venous cannulation.

Pikwer, Andreas LU ; Åkeson, Jonas LU and Lindgren, S (2012) In Anaesthesia 67. p.65-71
Abstract
We undertook a review of studies comparing complications of centrally or peripherally inserted central venous catheters. Twelve studies were included. Catheter tip malpositioning (9.3% vs 3.4%, p = 0.0007), thrombophlebitis (78 vs 7.5 per 10 000 indwelling days, p = 0.0001) and catheter dysfunction (78 vs 14 per 10 000 indwelling days, p = 0.04) were more common with peripherally inserted catheters than with central catheter placement, respectively. There was no difference in infection rates. We found that the risks of tip malpositioning, thrombophlebitis and catheter dysfunction favour clinical use of centrally placed catheters instead of peripherally inserted central catheters, and that the two catheter types do not differ with respect... (More)
We undertook a review of studies comparing complications of centrally or peripherally inserted central venous catheters. Twelve studies were included. Catheter tip malpositioning (9.3% vs 3.4%, p = 0.0007), thrombophlebitis (78 vs 7.5 per 10 000 indwelling days, p = 0.0001) and catheter dysfunction (78 vs 14 per 10 000 indwelling days, p = 0.04) were more common with peripherally inserted catheters than with central catheter placement, respectively. There was no difference in infection rates. We found that the risks of tip malpositioning, thrombophlebitis and catheter dysfunction favour clinical use of centrally placed catheters instead of peripherally inserted central catheters, and that the two catheter types do not differ with respect to catheter-related infection rates. You can respond to this article at http://www.anaesthesiacorrespondence.com. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Anaesthesia
volume
67
pages
65 - 71
publisher
Wiley-Blackwell
external identifiers
  • wos:000297921900013
  • pmid:21972789
  • scopus:83555172416
ISSN
1365-2044
DOI
10.1111/j.1365-2044.2011.06911.x
language
English
LU publication?
yes
id
8e6cd2c2-5909-443b-b296-67585428e72f (old id 2200814)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21972789?dopt=Abstract
date added to LUP
2011-11-02 08:06:59
date last changed
2017-04-16 04:23:45
@article{8e6cd2c2-5909-443b-b296-67585428e72f,
  abstract     = {We undertook a review of studies comparing complications of centrally or peripherally inserted central venous catheters. Twelve studies were included. Catheter tip malpositioning (9.3% vs 3.4%, p = 0.0007), thrombophlebitis (78 vs 7.5 per 10 000 indwelling days, p = 0.0001) and catheter dysfunction (78 vs 14 per 10 000 indwelling days, p = 0.04) were more common with peripherally inserted catheters than with central catheter placement, respectively. There was no difference in infection rates. We found that the risks of tip malpositioning, thrombophlebitis and catheter dysfunction favour clinical use of centrally placed catheters instead of peripherally inserted central catheters, and that the two catheter types do not differ with respect to catheter-related infection rates. You can respond to this article at http://www.anaesthesiacorrespondence.com.},
  author       = {Pikwer, Andreas and Åkeson, Jonas and Lindgren, S},
  issn         = {1365-2044},
  language     = {eng},
  pages        = {65--71},
  publisher    = {Wiley-Blackwell},
  series       = {Anaesthesia},
  title        = {Complications associated with peripheral or central routes for central venous cannulation.},
  url          = {http://dx.doi.org/10.1111/j.1365-2044.2011.06911.x},
  volume       = {67},
  year         = {2012},
}