Introduction - Central venous catheterization (CVC) is a blind procedure and none of the different
approaches are completely free of complications. Skilled hand and good knowledge of the procedure can
minimize the complications.
Objective - To study the mechanical complication associated with central venous catheterization with
special reference to the experience of the operator.
Type of study – Case study.
Material and method- This study was conducted in tertiary teaching hospital from July 2011 to
September 2013. A total no of 80 patients who required central venous catheterization in medicine
intensive care unit (ICU) were studied.
Results – Sex distribution - 62.5% were male and 37.5% were female. Internal jugular vein
catheterization was most commonly done in 86.25% patients. Mechanical complication was observed in
65 patients (81.25%) with arterial puncture in 31 patients (38.75%), hematoma in 5patients (6.25%),
catheter block occurred in 25 patients (31.25%) and catheter pull occurred in 4 patients (5%).There were
no episodes of pneumothorax or hemothorax.
Conclusion- Arterial puncture was the most common mechanical complication associated with CVC.
The complication rate has an inverse relation with the experience of the operator. Use of heparin prevents
Real Time Impact Factor:
Author Name: Rajeshwari Vhora, Sukanya Kumar, Govind Shiddapur, Madhulika Mahashabde, Harshad Patil, Arjun Lal Kakrani
URL: View PDF
Keywords: Central venous catheterization, Mechanical, Complications