Factors that effect on complication development while inserting central venous catheter

Abstract

Objectives: Knowledge of factors that effect the development of complications while inserting a central venous catheter can lead to interventions which can lead to decreased rates of complications. In this study we evaluate the factors that effect the development of complications during central venous catheter insertion.
Materials and Methods: 325 patients (179 males (%55.1), 146 females (%44.9)) who had central venous catheters inserted in Dicle University hospital emergency department between June 2005 and May 2006 were enrolled in this study. The effect of age, gender, reason for central venous catheter insertion, diameter of the catheter, the initial insertion site, the number of attempts for inserting the catheter, the time of day when the catheterwas inserted and the level of training of the physician on development of complications was studies. Chisquare test was used for categorical variables and the t test for continuous variables in statistical analysis.
Results: Complications developed in 12% (n=39) patients. Of patients with complications, 56.4% (n=22) were male and 43.6% (n=17) female. No significant statistical relationship was detected between complication development and age, gender, reason of central venous catheter insertion, diameter of the catheter, the insertionsite, the time of day when the catheter was inserted, or the level of training of the physician (p>0.05). Patients in whom the initial insertion site was infraclavicular (42.6%) had a statistically significant higher rate of complications (p=0.036). Patients who had three or more attempts for catheterization (26.5%) also had statistically significant increase in the rate of complications (p<0.0001).
Conclusion: The infraclavicular approach and three or more attempts at CVP catheter insertion arerelated to complicationst.