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Bard Hickman - Post-Placement Precautions; Possible Complications

Bard Hickman
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Bard Access Systems, Inc.
7
III. After placement, observe the following precautions to avoid device
damage and/or patient injury:
Do not use the catheter if there is any evidence of mechanical
damage or leaking. Damage to the catheter may lead to rupture,
fragmentation and possible embolism and surgical removal.
Accessories and components used in conjunction with this device should
incorporate Luer lock connections.
If signs of extravasation exist, discontinue injections. Begin appropriate
medical intervention immediately.
Infusion pressure greater than 25 psi (172 kPa) may damage blood vessels
and viscus and is not recommended. DO NOT USE A SYRINGE SMALLER
THAN 10 mL!
Possible Complications
The use of an indwelling central venous catheter provides an important
means of venous access for critically ill patients; however, the potential
exists for serious complications including the following:
Air Embolism
• Bleeding
Brachial Plexus Injury
Cardiac Arrhythmia
Cardiac Tamponade
Catheter or Cu Erosion Through
Skin
Catheter Embolism
Catheter or Cu Occlusion
Catheter Occlusion, Damage or
Breakage due to Compression
Between the Clavicle and First Rib
Catheter-related Sepsis
• Endocarditis
Exit Site Infection
Exit Site Necrosis
• Extravasation
Fibrin Sheath Formation
• Hematoma
• Hemothorax
• Hydrothorax
Intolerance Reaction to Implanted
Device
Laceration of Vessels or Viscus
Perforation of Vessels or Viscus
• Pneumothorax
Spontaneous Catheter Tip
Malposition or Retraction
Thoracic Duct Injury
• Thromboembolism
Venous Thrombosis
Ventricular Thrombosis
Vessel Erosion
Risks Normally Associated with
Local and General Anesthesia,
Surgery, and Post-Operative
Recovery
These and other complications are well documented in medical literature
and should be carefully considered before placing the catheter.

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