title: Infectious complications of simultaneously inserted central venous and pulmonary artery catheters.
abstract: Infectious complications associated with simultaneously inserted pulmonary artery and central venous catheters via the same internal jugular vein were studied prospectively in 622 patients undergoing open-heart surgery under cephalothin prophylaxis. Successful insertion of the catheters was achieved in 650 (98.3%) of 661 attempts, while puncture complications occurred in 51 (8.2%) patients. One (0.2%) patient developed a local infection and 24 (3.9%) patients had one or more positive catheter-tip cultures without complications related to the positive cultures. Patients with puncture complications had no significantly different incidence of positive tip cultures. The incidence of positive catheter-tip cultures for pulmonary artery and central venous catheters was 2.6% and 1.7% respectively. Monitoring with a pulmonary artery and central venous catheter inserted via the same internal jugular vein is associated with a low rate of infectious complications.
authors: Department of Cardiac Anaesthesiology, University Hospital, State University Utrecht, The Netherlands.
authors: J
authors: J
authors: Damen
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures; D002404:Catheterization / Q000009:adverse effects*; D002560:Cerebrovascular Circulation; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D008722:Methods; D011183:Postoperative Complications / Q000209:etiology*; D011651:Pulmonary Artery / Q000503:physiopathology*