OBJECTIVES

• Identify insertion and post-insertion related complications of CVC
• Describe signs, symptoms and mitigation techniques for insertion and post-insertion related complications

While central venous access devices are the safest and most efficient means of delivering medications and total parenteral nutrition (TPN), complications can arise with the use of these devices. These complications are divided into two main categories: Insertion-related complications and post-insertion related complications. The most common insertion-related complications include:

• Arterial puncture
• Air embolus
• Nerve injury
• Bleeding/hemorrhage
• Inability to advance introducer/dilator
• Inability to thread catheter
• Complications with guidewire
• Pneumothorax
• Arrhythmias

The most common post-insertion related complications include:

• Infection
• Cellulitis
• Thrombosis