Incidence of Mechanical Complications of Central Venous Catheterization Using Landmark Technique: Do Not Try More Than 3 Times

Conclusions:
The incidence of mechanical complications is affected by the number of punctures performed. After adjustment, the risk increases substantially with more than 3 attempts. Limiting the number of attempts, appropriate supervision and the use of ultrasound guidance when available are recommended for the further reduction in mechanical complications of central venous catheterization.

Source: Journal of Intensive Care Medicine - May 26, 2016 Category: Intensive Care Authors: Calvache, J.-A., Rodriguez, M.-V., Trochez, A., Klimek, M., Stolker, R.-J., Lesaffre, E. Tags: Review of a Large Clinical Series Source Type: research