Anatomic Site-Specific Complication Rates for Central Venous Catheter Insertions. (Record no. 5953)

000 -LEADER
fixed length control field 03371nam a22004817a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 180928s20182018 xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number 30231668
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0885-0666
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1177/0885066618795126 [doi]
190 ## -
-- Bell J
190 ## -
-- Goyal M
190 ## -
-- Long S
190 ## -
-- Kumar A
190 ## -
-- Friedrich J
190 ## -
-- Garfinkel J
190 ## -
-- Chung S
190 ## -
-- Fitzgibbons S
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Goyal, Munish
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Kumar, Anagha
245 ## - TITLE STATEMENT
Title Anatomic Site-Specific Complication Rates for Central Venous Catheter Insertions.
251 ## -
-- Journal of Intensive Care Medicine. :885066618795126, 2018 Sep 19
252 ## -
-- J Intensive Care Med. :885066618795126, 2018 Sep 19
253 ## -
-- Journal of intensive care medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
-- aheadofprint
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2018
269 ## -
-- FY2019
501 ## - WITH NOTE
With note Available in print through MWHC library: 1992 - 2001
520 ## - SUMMARY, ETC.
Summary, etc. BACKGROUND: Central venous catheter (CVC) complication rates reflecting the application of modern insertion techniques to a clinically heterogeneous patient populations are needed to better understand procedural risk attributable to the 3 common anatomic insertion sites: internal jugular, subclavian, and femoral veins. We sought to define site-specific mechanical and duration-associated CVC complication rates across all hospital inpatients.
520 ## - SUMMARY, ETC.
Summary, etc. METHODS: A retrospective chart review was conducted over 9 months at Georgetown University Hospital and Washington Hospital Center. Peripherally inserted central catheters and tunneled or fluoroscopically placed CVC's were excluded. Mechanical complications (retained guidewire, arterial injury, and pneumothorax) and duration-associated complications (deep vein thrombosis or pulmonary embolism, and central line-associated bloodstream infections) were identified.
520 ## - SUMMARY, ETC.
Summary, etc. RESULTS: In all, 1179 CVC insertions in 801 adult patients were analyzed. Approximately 32% of patients had multiple lines placed. Of 1179 CVCs, 73 total complications were recorded, giving a total rate of one or more complications occurring per CVC of 5.9%. There was no statistically significant difference between site-specific complications. A total of 19 mechanical complications were documented, with a 1.5% complication rate of one or more mechanical complications occurring. A total of 54 delayed complications were documented, with a 4.4% complication rate of 1 or more delayed complications occurring. There were no statistically significant differences between anatomic sites for either total mechanical or total delayed complications.
520 ## - SUMMARY, ETC.
Summary, etc. CONCLUSIONS: These results suggest that site-specific CVC complication rates may be less common than previously reported. These data further inform on the safety of modern CVC insertion techniques across all patient populations and clinical settings.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
656 ## - INDEX TERM--OCCUPATION
Occupation Emergency Medicine
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Washington Hospital Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Health Research Institute
657 ## - INDEX TERM--FUNCTION
Function Journal Article
858 ## -
-- Bell, Jacob
-- http://orcid.org/0000-0001-6689-4332
858 ## -
-- Friedrich, Joseph
-- http://orcid.org/0000-0002-5101-6200
857 ## -
-- https://dx.doi.org/10.1177/0885066618795126
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Permanent Location Current Location Date acquired Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 2018-09-28 30231668 2018-09-28 2018-09-28 Journal Article

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