title: Two Serious Complications of Peripherally Inserted Central Catheters Indicating the Need to Formalize Training for Placing Central Venous Vascular Access Devices.
abstract: Peripherally inserted central catheters are being used in increasing numbers. Common (thrombosis, infection, phlebitis, malfunction, or disconnection) and rare complications (pericardial tamponade) have been well explored. We describe 2 serious complications that resolved without sequelae. Both complications occurred in the context of limited provider competence. We conclude that vascular access is more than "just" placing a catheter; it can have serious clinical impact and has evolved into a specialist skill. With increasing use of intravascular catheters, the need for a formalized training becomes urgent.
authors.affiliation: From the Department of Anesthesiology, Meander Hospital, Amersfoort, The Netherlands.
authors.forename: Volker
authors.initials: V
authors.lastname: Gerling
authors.forename: Nico
authors.initials: N
authors.lastname: Feenstra
mesh_terms: D000776:Anesthesiology / Q000193:education*; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D020878:Device Removal; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000175:diagnosis* / Q000209:etiology; D013192:Staff Development / Q000592:standards