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805 Prospective Observational Study of Complications of Central Venous Catheterisation in a Regional Paediatric Intensive Care Unit
  1. H Gowda,
  2. C Penrose
  1. Paediatric Intensive Care Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK

Abstract

Background and Aims Central Venous Cather (CVC) has become an indispensable route for venous access in Paediatric Intensive Care Units(PICU). Used worldwide to monitor haemodynamic status, administer fluids, medication, parenteral nutrition and for blood sampling.

To evaluate various complication rates of triple lumen CVC in PICU.

To investigate the relationship between the duration of per-cutaneous central venous catheterisation and the occurrence of catheter-related complications.

Methods A prospective study (August 2010 to July 2011) of 227 central venous catheterisations in children of different ages in a regional PICU. Data on demography, site of insertion, complications during insertion and complications during line in-situ were collected.

Results Total number of CVC days (for 227 CVC) was 960 days.

Complications during insertion were multiple attempts(4.84%), bleeding(0.88%) and haemothorax(0.44%).

Abstract 805 Table 1

Central venous catheter complication rates

Abstract 805 Table 2

Complication in relation to duration of CVC

Abstract 805 Table 3

Internal jugular vein vs femoral vein

Conclusion Overall complication rates of CVC is 45 per 1000 catheter days.

Infectious complications were independent of the venous access site, but increases with the duration of catheterisation. Thrombotic complications happened within short period of catheterisation.

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