Bleeding complications after central line insertions: relevance of pre-procedure coagulation tests and institutional transfusion policy.

作者: T. KANDER , A. FRIGYESI , J. KJELDSEN-KRAGH , H. KARLSSON , F. ROLANDER

DOI: 10.1111/AAS.12075

关键词:

摘要: BACKGROUND: The aim of this study was to map pre-procedural variables for insertion a central venous catheter, prophylactic blood component use and investigate whether any independent variable could be identified as an risk factor associated bleeding complications in patients outside the intensive care unit. METHODS: In retrospective study, we investigated 1737 consecutive insertions catheters 1444 large university hospital during 2009-2010. Pre-procedural coagulation status, use, type site were recorded compared with documented on electronic charts. RESULTS: No serious connection catheters. Sixteen 1769 (0.9%) caused grade 2 bleeding, defined requiring prolonged compression at site. Insertion bore dialysis catheter found complications. Neither conventional tests nor accidental arterial puncture or number needle passes predict study. CONCLUSION: This non-ICU patients, shows that association line are uncommon is likely mild-bleeding population. (Less)

参考文章(19)
Y. L. Chee, J. C. Crawford, H. G. Watson, M. Greaves, Guidelines on the assessment of bleeding risk prior to surgery or invasive procedures British Journal of Haematology. ,vol. 140, pp. 496- 504 ,(2008) , 10.1111/J.1365-2141.2007.06968.X
Lise Estcourt, Simon Stanworth, Carolyn Doree, Sally Hopewell, Michael F Murphy, Alan Tinmouth, Nancy Heddle, None, Prophylactic platelet transfusion for prevention of bleeding in patients with haematological disorders after chemotherapy and stem cell transplantation. Cochrane Database of Systematic Reviews. ,(2012) , 10.1002/14651858.CD004269.PUB3
Per Flisberg, Malin Rundgren, Martin Engström, The effects of platelet transfusions evaluated using rotational thromboelastometry. Anesthesia & Analgesia. ,vol. 108, pp. 1430- 1432 ,(2009) , 10.1213/ANE.0B013E31819BCCB7
Sibylle Ruesch, Bernhard Walder, Martin R. Tramèr, Complications of central venous catheters: internal jugular versus subclavian access--a systematic review. Critical Care Medicine. ,vol. 30, pp. 454- 460 ,(2002) , 10.1097/00003246-200202000-00031
Hamid Mumtaz, Victor Williams, Martin Hauer-Jensen, Mark Rowe, Rhonda S Henry-Tillman, Keith Heaton, Anne T Mancino, Roberta L Muldoon, V.Suzanne Klimberg, J.Ralph Broadwater, Kent C Westbrook, Nicholas P Lang, Central venous catheter placement in patients with disorders of hemostasis The American Journal of Surgery. ,vol. 180, pp. 503- 506 ,(2000) , 10.1016/S0002-9610(00)00552-3
Preston F. Foster, Central Venous Catheterization in Patients With Coagulopathy Archives of Surgery. ,vol. 127, pp. 273- 275 ,(1992) , 10.1001/ARCHSURG.1992.01420030035006
Ton Lisman, Stephen H Caldwell, Andrew K Burroughs, Patrick G Northup, Marco Senzolo, R Todd Stravitz, Armando Tripodi, James F Trotter, Dominique-Charles Valla, Robert J Porte, Coagulation in Liver Disease Study Group, Hemostasis and thrombosis in patients with liver disease: The ups and downs Journal of Hepatology. ,vol. 53, pp. 362- 371 ,(2010) , 10.1016/J.JHEP.2010.01.042
N. C. Fisher, D. J. Mutimer, Central venous cannulation in patients with liver disease and coagulopathy – a prospective audit Intensive Care Medicine. ,vol. 25, pp. 481- 485 ,(1999) , 10.1007/S001340050884
Daniel Hind, Neill Calvert, Richard McWilliams, Andrew Davidson, Suzy Paisley, Catherine Beverley, Steven Thomas, Ultrasonic locating devices for central venous cannulation: meta-analysis BMJ. ,vol. 327, pp. 361- 0 ,(2003) , 10.1136/BMJ.327.7411.361