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Medicina Legal de Costa Rica
On-line version ISSN 2215-5287Print version ISSN 1409-0015
Abstract
GARCIA CARRANZA, Alejandra et al. Central Venous Catheter and its complications. Med. leg. Costa Rica [online]. 2020, vol.37, n.1, pp.74-86. ISSN 2215-5287.
The use of central venous catheter in clinical practice has emerged as a vascular access option in patients with prolonged hospital stays due to various pathologies of the new epidemiological spectrum. This is called an access to the bloodstream at the central level for the administration of medications and among other functions. There are several types of central venous catheters, depending on the patient's need so the one chosen is chosen.
However, infections due to the use of such invasive instruments, as well as other non-infectious complications divided into immediate ones such as arterial puncture, bleeding, pneumothorax or hemothorax, arrhythmia, air embolism or catheter malposition and late complications between them venous stenosis, venous thrombosis, catheter migration, myocardial perforation or nerve damage pose a new challenge for current medicine. During this article it is presented as well as the complications, the respective management of each one is described and how to reduce their incidence.
Keywords : Central Venous Catheters; Catheter-Related Infections; Bacteremia; Secondary Prevention; Catheters.