PMID: 8964028Nov 1, 1996Paper

Acute complications of central line placement in profoundly thrombocytopenic cancer patients

Cancer
R BarreraJ S Groeger

Abstract

Morbidities associated with the insertion of central venous catheters in severely thrombocytopenic cancer patients were analyzed in this prospective observational study. One hundred fifteen consecutive thrombocytopenic patients requiring central venous access (internal jugular or subclavian vein cannulation by a modified Seldinger technique) were evaluated. One hundred fifteen catheters were inserted. For each patient, the following factors were documented: age; sex; diagnosis; previous catheterization; prior neck, chest, breast, or axillary surgery or radiation therapy; presence of other lines prior to venipuncture; site and indication for line insertion; complications; PT and PTT; platelet counts; and hematocrit. Of the total number of catheters inserted, 63 (55%) were subclavian and 52 (45%) were internal jugular. Successful cannulations with no complications (n = 91; 79% of the total) were achieved with 1.2 +/- 0.5 attempts. Twenty-four major and minor complications (20%) occurred with an average of 1.6 +/- 1 attempts (P = 0.003). The mean preprocedure platelet counts were 14.8 +/- 4.5 x 10(9)/L for the subclavian group and 14.3 +/- 4.8 x 10(9)/L for the internal jugular group. With platelet transfusion, the mean postproced...Continue Reading

Citations

Apr 3, 2014·Natural Product Reports·Johanna MichlMichael Heinrich
Jul 10, 2007·International Journal of Laboratory Hematology·L BishopJ Treleaven
Feb 22, 2001·American Journal of Surgery·C LarongaP Mansfield
Aug 30, 2001·Critical Care Clinics·M T DeSancho, J H Rand
Aug 30, 2001·Critical Care Clinics·S L Blair, R E Schwarz
Nov 18, 2003·Anaesthesia·H A McLureJ Williams
Dec 23, 2016·British Journal of Haematology·Lise J EstcourtUNKNOWN British Committee for Standards in Haematology
Nov 13, 2014·Transfusion·Ambuj KumarUNKNOWN AABB Platelet Transfusion Guidelines Panel

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