• Mitsuru Ida, Yuu Tanaka, Yasunobu Kawano, Satoki Inoue, Hitoshi Furuya, and Masahiko Kawaguchi.
• Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.
• Masui. 2014 Jan 1; 63 (1): 62-7.

BackgroundIt has been reported that multiple puncture more than or equal to 3 times is a factor associated with the development of CVC-related complications. The present retrospective study was undertaken to evaluate the predictors and risks of multiple puncture during the insertion of CVC.MethodsAfter the IRB approval, 1296 patients who underwent CVC in the operating room were enrolled. Data were collected using CVC report and the medical charts. Multiple puncture was defined as the puncture performed more than or equal to three times during the insertion of CVC. Univariate and multivariate logistic regression analysis were performed to assess the predictors of multiple puncture during the CVC insertion.ResultsUnivariate analysis revealed that age less than 6 years, complications during insertion and the way to use ultrasound echo were associated with multiple puncture. Multivariate analysis also revealed that age less than 6 years was a significant predictor for multiple puncture (odds ratio 2.08, 95% CI 1.01-4.29).ConclusionsThe results of the study indicate that the age less than 6 years is a significant predictor for multiple puncture during the CVC insertion.

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