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Delayed recognition of vascular complications caused by central venous catheters
Authors:Dr Cyrus B. Kapadia MD  Stephen O. Heard MD  Neil S. Yeston MD
Affiliation:(1) From the Department of Anesthesiology and Section on Critical Care Medicine, Boston University Medical Center, Boston, MA;(2) From the Departments of Surgery and Anesthesiology and Section on Critical Care Medicine, Boston University Medical Center, Boston, MA;(3) Dept of Anesthesiology, University Hospital, 88 E Newton St, 02118 Boston, MA
Abstract:
Three patients are described in whom vascular complications occurred after placement of central venous catheters. Inappropriate catheter length and site of cannulation, catheter movement, and unsuitable catheter material can lead to complications. Guidelines for cannulation of central veins are defined, and recommendations for chest roentgenography, which could result in early recognition of catheter misplacement, are provided.
Keywords:Complications: vascular  Equipment: catheters, central venous
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