• Critical care medicine · May 2007

    Review

    Central venous catheterization.

    • Robert W Taylor and Ashok V Palagiri.
    • Critical Care Training Program, Saint Louis University, St. John's Mercy Medical Center, MO, USA. taylrw@stlo.smhs.com
    • Crit. Care Med. 2007 May 1;35(5):1390-6.

    ObjectiveTo provide current information related to central venous catheterization.DesignReview of literature relevant to central venous catheterization and its indications, insertion techniques, and prevention of complications.ResultsCentral venous catheterization can be lifesaving but is associated with complication rates of approximately 15%. Operator experience, familiarity with the advantages and disadvantages of the various catheterization sites, and strict attention to detail during insertion help in reducing mechanical complications associated with catheterization. Strict aseptic technique and proper catheter maintenance decrease the frequency of catheter-related infections.ConclusionsAppropriate catheter and site selection, sufficient operator experience, careful technique, and proper catheter maintenance with removal as soon as possible are associated with optimal outcome.

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