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 catheter block.

Author Name: Rajeshwari Vhora, Sukanya Kumar, Govind Shiddapur, Madhulika Mahashabde, Harshad Patil, Arjun Lal Kakrani

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Keywords: Central venous catheterization, Mechanical, Complications

ISSN: 2454-9142

EISSN: 2454-9142

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