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Related Experiment Videos

Central venous catheterization in the emergency setting.

E Abraham, M Shapiro, S Podolsky

    Critical Care Medicine
    |July 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

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    Central venous catheterization (CVC) in emergency departments has a high complication rate and is often unjustified. Adhering to strict indications is crucial for patient safety.

    Area of Science:

    • Emergency Medicine
    • Vascular Access
    • Patient Safety

    Background:

    • Central venous catheterization (CVC) is a common procedure in emergency settings.
    • Assessing the appropriateness and complication rates of emergent CVC is vital for improving patient outcomes.

    Observation:

    • A retrospective review of 61 CVCs in 57 patients was conducted at a university teaching hospital's emergency department.
    • Established criteria revealed that 41% of CVCs were not justifiable.
    • Eight patients (14%) experienced serious complications, a rate higher than previously reported emergent CVC studies.

    Findings:

    • A significant proportion of emergent central venous catheterizations in the emergency department were not justified by established criteria.
    • The rate of serious complications associated with emergent CVC placement was 14%.

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    Implications:

    • Findings highlight the need for stricter adherence to indications for CVC in emergency departments.
    • Implementing and enforcing clear guidelines can potentially reduce unjustified procedures and associated complications.
    • This study underscores the importance of continuous quality improvement for invasive procedures in critical care settings.