Central Lines
 

Haemorrhage / Haematoma

 
 
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Overview

    • Clinical Features

    • Bruising
    • Active bleeding from the site
    • Prevention

    • Avoid inserting a central line into a patient with a coagulopathy where possible
    • Place pressure on the insertion site for 1-2 minutes any time the needle is removed
    • Avoid too many attempts
    • Treatment

    • Compress the site for 1-2 minutes
    • Place a compression bandage
    • Observe the site
    • Consider reversing anticoagulation if bleeding is major
 
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Baik SY, Kim EK, Hong SK. Strategies to prevent central line-associated bloodstream infections in intensive care units. Journal of Microbiology, Immunology and Infection. 2015 Apr 1;48(2):S75-6.
 Bannon MP, Heller SF, Rivera M. Anatomic considerations for central venous cannulation. Risk Manag Healthc Policy. 2011;4:27-39. Czepizak CA, O’Callaghan JM, Venus B. Evaluation of formulas for optimal positioning of central venous catheters. Chest. 1995 Jun 30;107(6):1662-4.
Graham AS, Ozment C, Tegtmeyer K, Lai S, Braner DA. Central venous catheterization. N Engl J Med. 2007 May 24;356(21):e21.
 Vesely TM. Central venous catheter tip position: a continuing controversy. Journal of Vascular and Interventional Radiology. 2003 May 31;14(5):527-34.
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