Document Detail

Invasive vascular catheterisation in the critically ill.
MedLine Citation:
PMID:  3616807     Owner:  NLM     Status:  MEDLINE    
In order to identify potential problems and thereby minimise the risk of invasive vascular catheterisation, we conducted an analysis of these procedures in our medical intensive care unit with the aid of a computer database. During the 9-month study period 114 patients underwent 247 invasive vascular catheterisations, including pulmonary arterial (PA), central venous (CV) and arterial catheter insertions. Complications unique to PA catheterisation included burst catheter balloons (6%) and one serious episode of arrhythmia. The incidence of pneumothorax (2.8%) and inadvertent arterial puncture (2.2%) with PA and CV lines and our sepsis rate of 3.6% for all types of catheters are consistent with other studies. Arterial catheterisation proved to be relatively free of complications. Our study confirmed the safety of invasive vascular catheterisation. However, we review the precautions needed to limit potential complications.
M L Plit; M J Rumbak; J Lipman; J Eidelman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  72     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1987-09-24     Completed Date:  1987-09-24     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  245-8     Citation Subset:  IM    
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MeSH Terms
Arteries / surgery
Catheterization / adverse effects*
Critical Care / methods*
Monitoring, Physiologic / adverse effects
Postoperative Complications
Pulmonary Artery / surgery
Veins / surgery

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