- Identify the indications and contraindications for central venous catheter insertion.
- Describe the technique involved in central venous catheter insertion.
- Review the common complications of central venous catheter insertion.
- Outline the importance of interprofessional team collaboration, communication, and care coordination to enhance the care of patients requiring central venous catheter insertion to improve outcomes.
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Active skin or soft tissue infection at the potential site of the central line.
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Anatomical distortion at the site, which includes implantable/indwelling hardware, such as hemodialysis catheters and pacemakers.
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Vascular injury proximal or distal to the site of the catheter insertion, such as in traumatic injuries.
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Coagulopathy, though the actual incidence of clinically important bleeding is around 0.8%.
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Thrombocytopenia, which seems to correlate with a greater risk of adverse events.
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Uncooperative awake patient.
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Distortion of landmarks by congenital anomalies or trauma.
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Morbid obesity.
