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2017 ; 20
(3
): 137-140
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A review in emergency central venous catheterization
#MMPMID28552330
Akaraborworn O
Chin J Traumatol
2017[Jun]; 20
(3
): 137-140
PMID28552330
show ga
Central venous catheterization is widely used in the emergency setting. This
review aims to assess central venous catheterization from the perspectives of
types of catheters, sites of insertion, and techniques. In emergency conditions,
non-tunneled catheters are preferred because the technique for its insertion is
not complicated and less time-consuming. The size of catheter depends on the
purpose of catheterization. For example, a large bore catheter is needed for
rapid infusion. The ideal catheterization site should bear fewer thromboses,
lower infectious rate, and fewer mechanical complications. Thus the femoral vein
should be avoided due to a high rate of colonization and thrombosis while the
subclavian vein seems to exhibit fewer infectious complications compared with
other sites. The ultrasound-guided technique increases the success rate of
insertion while decreases the mechanical complications rate.
|*Catheterization, Central Venous/adverse effects/methods
[MESH]