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Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements
09:38

Femoral Arterial and Venous Catheterization for Blood Sampling, Drug Administration and Conscious Blood Pressure and Heart Rate Measurements

Published on: January 24, 2012

Short-term femoral vein catheterization rarely causes thrombosis or bacteremia

Ana Isabel Casanegra1, Scott Brannan, Ramona Dadu

  • 1Bridgeport Hospital, Bridgeport, Connecticut, USA.

Journal of Hospital Medicine
|June 26, 2010
PubMed
Abstract

Insights

Short-term femoral vein catheterization (FVC) demonstrated a safe profile in critically ill patients, with no identified catheter-related bloodstream infections or deep venous thrombosis when thromboprophylaxis was administered. This suggests FVC may be a viable option for initial resuscitation.

Area of Science:

  • Critical Care Medicine
  • Vascular Access
  • Infectious Disease Epidemiology

Background:

  • Femoral vein catheterization (FVC) is often considered unsafe by experts and regulatory bodies.
  • Current recommendations suggest avoiding FVC when possible due to perceived risks.

Purpose of the Study:

  • To evaluate the incidence of catheter-related bloodstream infections (CRBI).
  • To assess the occurrence of deep venous thrombosis (DVT) associated with FVC.

Main Methods:

  • A prospective observational cohort study was conducted in a medical intensive care unit (MICU).
  • Data on large vein catheterizations, including FVC, were collected over seven months.
  • Doppler ultrasound studies were performed on patients with FVC.

Main Results:

  • No central venous catheter-related bloodstream infections (CRBI) were identified during 1200 catheter-days.
  • Among 107 FVCs, none resulted in deep venous thrombosis (DVT) in patients receiving thromboprophylaxis.
  • No clinically detected venous thromboembolism (VTE) occurred in patients with or without follow-up Doppler studies.

Conclusions:

  • Short-term FVC can be safely utilized in the MICU setting, particularly with concurrent thromboprophylaxis.
  • The favorable safety profile observed suggests that discouraging FVC for initial resuscitation may be premature.

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