title: Inserting central venous catheter in emergency conditions in coagulopathic patients in comparison to noncoagulopathic patients.
abstract: BACKGROUND
  The current study was designed to compare the complications and adverse effects of central venous catheter (CVC) insertion under ultrasound guidance in patients with and without coagulopathy.
  
  
  METHODS
  In this clinical trial, 59 patients who needed CVC for various reasons were enrolled. Patients were divided into two groups of those with and without coagulopathy based on complete blood count, prothrombin time, partial thromboplastin time, and international normalized ratio test results, and then, CVC was inserted with ultrasound guidance in both groups. The CVC inserting site was examined for hematoma and hemorrhage in four stages at different times.
  
  
  RESULTS
  There was no significant difference in the terms of demographic features, catheter lumen size (P= 0.43), and number of attempting for CVC placement (odds ratio [OR] =2.35, 95% confidence interval [CI] = 0.36-15.3,P= 0.39) between two groups. Seven out of 59 patients suffered from complications (11.9%) that the complications in coagulopathic patients were oozing (5.7%) and superficial hematoma (8.6%) while in noncoagulopathic patients were 4.2% for both complications (OR = 0.54, 95% CI = 0.09-3.07,P= 0.767).
  
  
  CONCLUSIONS
  According to our results, it can be concluded that inserting CVC with ultrasound guidance under emergency conditions causes no serious and life-threatening complications in coagulopathic patients.
authors.affiliation: Department of Emergency Medicine, AL-Zahra Medical Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Nasr-Esfahani
authors.affiliation: Department of Surgery, AL-Zahra Medical Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Kolahdouzan
authors.affiliation: Department of Emergency Medicine, AL-Zahra Medical Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Seyed Abbas
authors.initials: SA
authors.lastname: Mousavi
keywords: Central venous catheter; coagulopathy; emergency; shock; ultrasound