Biomaterial Database

Prospective evaluation of central venous pressure (CVP) catheters in a large city-county hospital. 1982

E D Eisenhauer, and R J Derveloy, and P R Hastings

Over a 12-month period, this survey was conducted prospectively to examine the complication rate associated with the insertion and use of central venous catheters on the Louisiana State University Service at Charity Hospital, New Orleans. No attempt was made to alter or influence the current techniques and methods for catheter insertion. Three-hundred and ninety-seven patients received 554 catheters. The overall complication rate was 13.7%. Major mechanical complications occurred with 4.0% of catheters, and infectious complications occurred with 5.2%. Of the 22 major mechanical complications, 13 were associated with morbidity. Twelve of the 13 complications with morbidity occurred with 286 subclavian catheterizations (4.2%), while only 1 of the 13 complications with morbidity occurred with 248 internal jugular catheterizations (0.4%). Based on these data, it is recommended that the internal jugular approach be used in the majority of patients, reserving the subclavian approach for patients on long-term parenteral nutrition or when the internal jugular approach is not feasible technically.

UI	MeSH Term	Description	Entries
D007239	Infections	Invasion of the host organism by microorganisms or their toxins or by parasites that can cause pathological conditions or diseases.	Infection,Infection and Infestation,Infections and Infestations,Infestation and Infection,Infestations and Infections
D007601	Jugular Veins	Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins.	Jugular Vein,Vein, Jugular,Veins, Jugular
D008145	Louisiana	State bounded by Arkansas on the north, by Mississippi on the east, the Gulf of Mexico on the south and Texas on the west.
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D011446	Prospective Studies	Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.	Prospective Study,Studies, Prospective,Study, Prospective
D002404	Catheterization	Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.	Cannulation,Cannulations,Catheterizations
D002496	Central Venous Pressure	The blood pressure in the central large VEINS of the body. It is distinguished from peripheral venous pressure which occurs in an extremity.	Venous Pressure, Central,Central Venous Pressures,Pressure, Central Venous,Pressures, Central Venous,Venous Pressures, Central
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D005260	Female		Females