Related Experiment Video

Updated: May 15, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

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

T Kander1, A Frigyesi, J Kjeldsen-Kragh

  • 1Department of Intensive and Perioperative Care, Skane University Hospital and Lund University, Lund, Sweden. thomas.kander@skane.se

Acta Anaesthesiologica Scandinavica
|January 23, 2013
PubMed

Insights

Serious bleeding complications from central venous catheter insertion are rare in non-ICU patients. Large bore dialysis catheters may increase the risk of mild bleeding complications.

Area of Science:

  • Medical Procedures
  • Patient Safety
  • Vascular Access

Background:

  • Central venous catheter insertion is common in non-intensive care unit (ICU) settings.
  • Understanding pre-procedural variables and risk factors for bleeding is crucial for patient safety.

Purpose of the Study:

  • To identify pre-procedural variables associated with central venous catheter insertion.
  • To assess the use of prophylactic blood components.
  • To determine independent risk factors for bleeding complications outside the ICU.

Main Methods:

  • Retrospective analysis of 1737 central venous catheter insertions in 1444 patients.
  • Data collected included pre-procedural coagulation, blood component use, catheter type, and insertion site.
  • Complications were compared with bleeding events documented in electronic charts.

Main Results:

  • No serious bleeding complications were observed.
  • Grade 2 bleeding (requiring prolonged compression) occurred in 0.9% of insertions.
  • Insertion of large bore central dialysis catheters was an independent risk factor for bleeding.
  • Conventional coagulation tests and procedural factors did not predict bleeding.

Conclusions:

  • Serious bleeding complications are uncommon with central line insertions in non-ICU patients.
  • Large bore catheter insertion is a potential independent risk factor for mild bleeding complications.
  • Further research may refine risk assessment for these procedures.
Abstract

More Related Videos

A Microfluidic Flow Chamber Model for Platelet Transfusion and Hemostasis Measures Platelet Deposition and Fibrin Formation in Real-time09:38

A Microfluidic Flow Chamber Model for Platelet Transfusion and Hemostasis Measures Platelet Deposition and Fibrin Formation in Real-time

Published on: February 14, 2017

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Anticoagulant Drugs: Low-Molecular-Weight Heparins01:30

Anticoagulant Drugs: Low-Molecular-Weight Heparins

Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Disorders of Hemostasis01:24

Disorders of Hemostasis

Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Blood Transfusion01:15

Blood Transfusion

Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...