Scheduled replacement of central vascular catheters

Abstract

LetterMarch 1, 1994Scheduled replacement of central vascular cathetersAmnon Lahad, MD, Jaime Friedman, MDAmnon Lahad, MDUniversity of Washington, Seattle, Washington (A.L.)Search for more papers by this author, Jaime Friedman, MDSand Point Internists, Seattle, Washington (J.F.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/ACPJC-1994-120-2-055 SectionsAboutFull Text ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookTwitterLinkedInRedditEmail To the EditorIn the March/April 1993 issue, Kruse (1) favorably reviewed an article by Cobb and colleagues (2) that challenged the widely held belief that increased infection rates result from leaving central vascular catheters (CVCs) unchanged for longer than 3 to 4 days. In a randomized, controlled trial of scheduled replacement of central venous and pulmonary artery catheters, Cobb found more bloodstream infections and mechanical complications "pneumothorax, arrhythmia, suspected thrombosis, and bleeding" in patients on a fixed, every 3-day replacement schedule compared with patients whose lines were changed only for such clinical indications as unexplained fever or CVC malfunction. Kruse ...References1 Kruse JA.Scheduled replacement of central vascular catheters. ACP J Club. 1993 Mar/Apr:47 (Ann Intern Med. vol 118, suppl 2). Google Scholar2 Cobb DK, High KP, Sawyer RG, et al. A controlled trial of scheduled replacement of central venous and pulmonary-artery catheters. N Engl J Med. 1992;327:1062-68. Google Scholar3 Sitzmann JV, Townsend TR, Siler MC, Barllett JG. Septic and technical complications of central venous catheterization. A prospective study of 200 consecutive patients. Ann Surg. 1985;202:766-70. Google Scholar4 Venkataraman ST, Orr RA. Percutaneous infraclavicular subclavian vein catheterization in critically ill infants and children. J Pediatr. 1988;113:480-5. Google Scholar1 Cobb DK, High KP, Sawyer RG, et al. A controlled trial of scheduled replacement of central venous and pulmonary-artery catheters.N Engl J Med. 1992;327:1062-8. Google Scholar2 Powell C, Kudsk KA, Mandelbaum JA, Fibri PJ. Effect of frequent guidewire changes on triple-lumen catheter sepsis. J Parenter Enteral Nutr. 1988;12:462-4. Google Scholar3 Eyer S, Brummitt C, Crossley K, Siegel R, Cerra F. Catheter-related sepsis: prospective, randomized study of three methods of long-term catheter maintenance. Crit Care Med. 1990;18:1073-9. Google Scholar4 Stenzel JP, Green TP, Fuhrman BP, et al. Percutaneous central venous catheterization in a pediatric intensive care unit: a survival analysis of complications. Crit Care Med. 1989;17:984-8. Google Scholar5 Widmer AF. In: Wenzel RP, ed. Prevention and Control of Nosocomial Infections. 2d ed. Baltimore: Williams & Wilkins, 1993:562. Google Scholar6 Newsome HH Jr, Armstrong CW, Mayhall GC, et al. Mechanical complications from insertion of subclavian venous feeding catheters: comparison of de novo percutaneous venipuncture to change of catheter over guidewire. J Parenter Enteral Nutr. 1984;8:560-2. Google Scholar7 Michel LA, Bradpiece HA, Randour P, Pouthier F. Safety of central venous catheter change over guidewire for suspected catheter-related sepsis. A prospective randomized trial. Int Surg. 1988;73:180-6. Google Scholar8 Snyder RH, Archer FJ, Endy T, et al. Catheter infection. A comparison of two catheter maintenance techniques. Ann Surg. 1988;208:651-3. Google Scholar9 Flowers RH 3d, Schwenzer KJ, Kopel RF, et al. Efficacy of an attachable subcutaneous cuff for the prevention of intravascular catheter-related infection. A randomized, controlled trial. JAMA. 1989;261:878-83. Google Scholar10 Maki DG, Cobb L, Garman JF, et al. An attachable silver-impregnated cuff for prevention of infection with central venous catheters: a prospective randomized multicenter trial. Am J Med. 1988;85:307-14. Google Scholar11 Maki DG, Wheeler SJ, Stolz SM, Mermel LA. In: Program and Abstracts of the 31st Interscience Conference on Antimicrobial Agents and Chemotherapy. Chicago, 29 September to 2 October, 1991. Washington, D.C.: American Society for Microbiology; 1991:176 [Abstract]. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of Washington, Seattle, Washington (A.L.)Sand Point Internists, Seattle, Washington (J.F.) Previousarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScheduled replacement of central venous catheters did not reduce the incidence of infection or complications James A. Kruse March 1, 1994Volume 120, Issue 2Page: 55KeywordsArrhythmiaBacteremiaBloodCatheterizationDecision makingFeversHemorrhagePatientsPulmonary arteriesResearch laboratoriesSafetySurgeonsThrombosis ePublished: 9 March 2020 Issue Published: March 1, 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. All Rights Reserved.Loading ...