The browser you are using is not supported by this website. All versions of Internet Explorer are no longer supported, either by us or Microsoft (read more here: https://www.microsoft.com/en-us/microsoft-365/windows/end-of-ie-support).

Please use a modern browser to fully experience our website, such as the newest versions of Edge, Chrome, Firefox or Safari etc.

Bleeding complications after central line insertions: relevance of pre-procedure coagulation tests and institutional transfusion policy.

På svenska

Author

Summary, in English

BACKGROUND: The aim of this study was to map pre-procedural variables for insertion of a central venous catheter, prophylactic blood component use and to investigate whether any independent variable could be identified as an independent risk factor for associated bleeding complications in patients outside the intensive care unit. METHODS: In this retrospective study, we investigated 1737 consecutive insertions of central venous catheters in 1444 patients in a large university hospital during 2009-2010. Pre-procedural coagulation status, blood component use, type of catheter, insertion site and complications during insertion were recorded and compared with bleeding complications documented on electronic charts. RESULTS: No serious bleeding complications were recorded in connection with the insertion of central venous catheters. Sixteen of 1769 (0.9%) insertions caused grade 2 bleeding, defined as bleeding requiring prolonged compression at the insertion site. Insertion of a large bore central dialysis catheter was found to be an independent risk factor for bleeding complications. Neither conventional coagulation tests nor accidental arterial puncture or the number of needle passes could predict bleeding complications in this study. CONCLUSION: This retrospective study, in non-ICU patients, shows that serious bleeding complications in association with central line insertions are uncommon and that insertion of a large bore catheter is likely to be an independent risk factor for mild-bleeding complications in this population.

Publishing year

2013

Language

English

Pages

573-579

Publication/Series

Acta Anaesthesiologica Scandinavica

Volume

57

Issue

5

Document type

Journal article

Publisher

Wiley-Blackwell

Topic

  • Anesthesiology and Intensive Care

Status

Published

Project

  • Koagulation vid kirurgi och kritisk sjukdom

Research group

  • Reproductive medicine, Malmö
  • Clinical Research in Anaesthesia and Intensive Care Medicine

ISBN/ISSN/Other

  • ISSN: 0001-5172