![]() There is a limited differential of left paramediastinal catheter positions. Our data support an association between intravenous catheter contamination and insertion at a femoral site. Policy varies by institution but tip placement for neck/thoracic/upper limb CVCs in the superior vena cava or at the cavoatrial junction is generally acceptable. We did not identify an association between infection and use of triple-lumen catheters or parenteral nutrition. Clinical infection was not associated with any of the risk factors evaluated, although there was a trend for association with femoral location by Cox regression (hazard, 4.7 CI95, 0.82-26 P=.08). Catheter contamination was associated with emergent insertion (odds ratio, 6.2 95% confidence interval, 1.1-36.7 P=.04) by logistic regression and with femoral location (hazard, 4.2 CI95, 2.0-8.8 P=.0001) and history of transplantation (hazard, 2.8 CI95, 1.1-6.7 P=.024) by Cox regression. A 2019 position statement from the Society of Hospital Medicine recommended that providers use real-time US guidance for femoral venous access, on the grounds that this reduces the risk of. Bacteremia occurred in 2.7% of catheter insertions insertion-site infections developed in 1.3%, and catheter colonization developed in 12%. SURGEON: ASSISTANT: INDICATIONS: Patient in cardiogenic shock requiring intubation and constant monitoring of blood pressure and invasive central venous access for intravenous vasopressor support. Forty-five percent were triple-lumen catheters. OPERATION: Insertion of right femoral vein triple lumen venous catheter. Seventy percent were inserted into upper-body sites, and 30% were inserted into the femoral vein. Three hundred catheters were inserted into 204 patients. Palpating the femoral pulse throughout the procedure, the introducer needle was inserted medial to the femoral artery, inferior to the inguinal crease and into. ![]() Medical-surgical wards of Veterans' Affairs hospital. ![]() End points were clinical infection (bacteremia or site infection) and catheter contamination (clinical infection or colonization with >15 colonies on semiquantitative culture). A primary concern with long-term femoral vein catheterization has been a presumed increase in the risk of bacteremia compared with lines at other sites because. Data collected included patient characteristics, insertion site, catheter type, and receipt of parenteral nutrition. Prospective observational study of all nontunneled central venous catheters over a 28-month period. To determine the influence of catheter site and type (single- vs triple-lumen) on infection rates associated with central venous catheterization. ![]()
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