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- W1978015939 abstract "PRACTITIONERS, MANUFACTURERS, AND REGULATORY AGENCIES have long regarded central venous catheters (CVCs) as relatively dangerous, problem-prone devices. Recent attention has been focused primarily on reduction of infectious complications of CVCs. Application of strict aseptic precautions (the so-called “central-line bundle”) when placing CVCs effectively has reduced the incidence of catheter-related infection, 1 Hewlett A.L. Rupp M.E. New developments in the prevention of intravascular catheter associated infections. Infect Dis Clin North Am. 2012; 26: 1-11 Abstract Full Text Full Text PDF PubMed Scopus (22) Google Scholar and Medicare no longer reimburses for costs related to these infections. 2 Hoff T.J. Soerensen C. No payment for preventable complications: Reviewing the early literature for content, guidance, and impressions. Qual Manag Health Care. 2011; 20: 62-75 Crossref PubMed Scopus (11) Google Scholar However, mechanical complications of central venous cannulation remain a significant cause of morbidity and mortality. Data from the American Society of Anesthesiologists Closed Claims Project database have suggested that since 1990, the majority of mechanical complications associated with CVCs are vascular injuries, 3 Domino K.B. Bowdle T.A. Posner K.L. et al. Injuries and liability related to central vascular catheters: A closed claims analysis. Anesthesiology. 2004; 100: 1411-1418 Crossref PubMed Scopus (204) Google Scholar and “accidental puncture or laceration” is a reportable National Quality Measures Patient Safety Indicator. 4 Agency for Healthcare Research and Quality (AHRQ): National Quality Measures C. Accidental puncture or laceration (provider-level): Rate per 1,000 discharges. Available at: http://www.qualitymeasures.ahrq.gov/content.aspx?id=38525. Accessed March 21, 2013 Google Scholar Fortunately, most vascular injuries from CVCs should be preventable" @default.
- W1978015939 created "2016-06-24" @default.
- W1978015939 creator A5001097139 @default.
- W1978015939 date "2014-04-01" @default.
- W1978015939 modified "2023-10-09" @default.
- W1978015939 title "Vascular Complications of Central Venous Catheter Placement: Evidence-Based Methods for Prevention and Treatment" @default.
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- W1978015939 doi "https://doi.org/10.1053/j.jvca.2013.02.027" @default.
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