Femoral vs Jugular Venous Catheterization and Risk of Nosocomial Events in Adults Requiring Acute Renal Replacement Therapy: A Randomized Controlled Trial

Sarasota Vascular Specialists Article Summary and Comment:

This manuscript demonstrates that for ICU patients requiring acute dialysis, femoral catheters do not carry the high risk of infection nor DVT that we have currently been led to believe. However, the concluding paragraph of the manuscript probably summarizes the clinical implications appropriately.

"In conclusion, the decision for the best site of insertion to prevent complications might be more complex than previously suggested. Our results support the current guideline for preventing catheter complications regarding the optimal site for catheter insertion in the ICU. If a subclavian approach is not available and the a priori individual risk of complications between the jugular and femoral sites is equal, the jugular site should be strongly considered for patients with higher BMI. We suggest that first-choice careful femoral catheterization by an experienced operator with full sterile precautions and appropriate postinsertion site care in nonobese, bed-bound, severely ill patients is acceptable and could reduce catheter-related morbidity compared with jugular catheterization"

> Read Entire Article in PDF Format

 

Need help viewing a PDF?
In order to view a .PDF, you will need Adobe Reader or another application on your computer. Most computers already have Adobe Readaer installed by default, but if you do not have a suitable application, please click the following link to visit Adobe.com to download the free Adobe Reader application.