Insights on Central and Peripheral Venous Catheterization; Biology,Anatomy, Surgical Aspects and Nursing Management: Our Experience

External Jugular Venous Route for Central Venous Access: Our Experience in 563 Surgical Patients

Objectives: Though external jugular vein is superficial, adequate sized, isolated from major neurovascular structures and its cannulation fairly simple and comfortable to patients, it is not commonly used. Internal jugular vein cannulation on the other hand is routinely used with reasonable success. This technique is not devoid of complications. In order to make the central venous cannulation s...

The unnecessary application of central venous catheterization in surgical patients

Central venous catheterization and fatal cardiac tamponade.

Cardiac tamponade is a poorly recognized complication of central venous catheterization associated with a high mortality. We present a case of fatal cardiac tamponade after intra- pericardial infusion of total parenteral nutrition in a patient who had two central venous catheters. We suggest that catheter tip position should always be confirmed before use of a catheter. Tamponade should be susp...

Hydrothorax after central venous catheterization.

Three patients are described who developed hydrothorax as a complication of central venous catheterization. Respiratory distress associated with physical signs of fluid in the chest should arouse suspicion that the venous catheter has perforated the wall of the vein.The complications of central venous catheterization are reviewed and three cases of hydrothorax are presented. Comments on the pre...

Central venous catheterization and thrombosis in newborns: update on diagnosis and management.

Very low birth weight and other critically ill neonates require prolonged vascular access, which is achieved in current practice with central venous catheters. The initiation of adequate parenteral nutrition and prolonged intravenous medications represent the most important applications. Central vascular access in neonates is associated with a high risk for mechanical, infectious and thrombotic...