Perioperative complications of long-term central venous catheters in high-risk patients: Predictors versus myths

Kenneth Azarow, Mark Molloy, Jeffrey Kavolius, Johnathan Sayles, Silverio Cabellon, Richard H. Pearl

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A prospective cohort of 126 patients having long-term central venous catheterization was collected over a 10-month period. The patients were preoperatively assessed for the following risk factors: Previous catheter placement, an absolute neutrophil count less than 500/mm3, a platelet count less than 50 000/mm3, a BUN value greater than 60 mg/dL or a serum creatinine level greater than 2.5 mg/dL, a prothrombin time greater than 1.5 times control, recent sepsis, and a Western blot test positive for HIV. The incidence of perioperative complications was 23%. Complications included pneumothorax, arterial puncture, tunnel hematoma, unsuccessful initial placement, and reaction to local anesthesia or blood products. No single risk factor had any statistical significance in predicting a complication. In the subpopulation of patients having two or more risk factors, the complication rate was 50%, with the majority of these being failed placement attempts. We conclude that inserting a permanent central venous catheter is not a benign procedure, but it can be safely done in critically ill patients. Furthermore, evaluation of preoperative risk factors in candidates for catheterization can be helpful to the surgeon with respect to counseling and operative planning.

Original languageEnglish (US)
Pages (from-to)498-501
Number of pages4
JournalSouthern Medical Journal
Volume85
Issue number5
StatePublished - 1992
Externally publishedYes

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Central Venous Catheters
Central Venous Catheterization
Blood Urea Nitrogen
Prothrombin Time
Pneumothorax
Local Anesthesia
Platelet Count
Punctures
Critical Illness
Catheterization
Hematoma
Counseling
Creatinine
Sepsis
Neutrophils
Catheters
Western Blotting
HIV
Incidence
Serum

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Perioperative complications of long-term central venous catheters in high-risk patients : Predictors versus myths. / Azarow, Kenneth; Molloy, Mark; Kavolius, Jeffrey; Sayles, Johnathan; Cabellon, Silverio; Pearl, Richard H.

In: Southern Medical Journal, Vol. 85, No. 5, 1992, p. 498-501.

Research output: Contribution to journalArticle

Azarow, K, Molloy, M, Kavolius, J, Sayles, J, Cabellon, S & Pearl, RH 1992, 'Perioperative complications of long-term central venous catheters in high-risk patients: Predictors versus myths', Southern Medical Journal, vol. 85, no. 5, pp. 498-501.
Azarow, Kenneth ; Molloy, Mark ; Kavolius, Jeffrey ; Sayles, Johnathan ; Cabellon, Silverio ; Pearl, Richard H. / Perioperative complications of long-term central venous catheters in high-risk patients : Predictors versus myths. In: Southern Medical Journal. 1992 ; Vol. 85, No. 5. pp. 498-501.
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