Journal of AdvancedMedical and Dental Sciences Research

Background:In the intensive care unit (ICU), central venous catheters (CVCs) are a necessary component of patient treatment. The present study was conducted to assess complications of central venous catheterizations. Materials & Methods:120 central venous cathetercases of both genderswere divided into 2 groups of 60 each based on central venous catheterizations (CVCs) using internal jugular venous; and subclavian vein. Parameters such as APACHE II score, characteristics of insertion, complications, etc. were recorded. Results: The mean APACHE II score was 16.5 and 16.2 for patients in groups I and II respectively. Characteristics of insertionwere right side in 32 and 28, ≥2 insertion attempts were seen in 18 and 24 and failed attemptswere seen in 10 and 8 patients in groups I and II respectively. The difference was significant (P< 0.05). Common complications recorded were hematoma in 4 and 1, arterial trauma in 3 and 2, catheter tip malposition in 6 and 4, and guidewire kinking in 1 and 0 patients in group I and group II patients respectively. The difference was significant (P< 0.05). Conclusion: Complications from infections and mechanical issues related to CVCs occur frequently. In comparison to the SCV route, the IJV route is linked to more bleeding mechanical difficulties.