The catheter was threaded smoothly over the guide wire and appropriate blood return was obtained. Our data support an association between intravenous catheter contamination and insertion at a femoral site. A triple lumen <9-French> Cordis catheter was introduced into the the using the Seldinger technique .We did not identify an association between infection and use of triple-lumen catheters or parenteral nutrition. Clinical infection was not associated with any of the risk factors evaluated, although there was a trend for association with femoral location by Cox regression (hazard, 4.7 CI95, 0.82-26 P=.08). SURGEON: ASSISTANT: INDICATIONS: Patient in cardiogenic shock requiring intubation and constant monitoring of blood pressure and invasive central venous access for intravenous vasopressor support. Catheter contamination was associated with emergent insertion (odds ratio, 6.2 95% confidence interval, 1.1-36.7 P=.04) by logistic regression and with femoral location (hazard, 4.2 CI95, 2.0-8.8 P=.0001) and history of transplantation (hazard, 2.8 CI95, 1.1-6.7 P=.024) by Cox regression. OPERATION: Insertion of right femoral vein triple lumen venous catheter. Bacteremia occurred in 2.7% of catheter insertions insertion-site infections developed in 1.3%, and catheter colonization developed in 12%. Forty-five percent were triple-lumen catheters. Seventy percent were inserted into upper-body sites, and 30% were inserted into the femoral vein. Three hundred catheters were inserted into 204 patients. Medical-surgical wards of Veterans' Affairs hospital. End points were clinical infection (bacteremia or site infection) and catheter contamination (clinical infection or colonization with >15 colonies on semiquantitative culture). Data collected included patient characteristics, insertion site, catheter type, and receipt of parenteral nutrition. a central venous catheter that is inserted centrally through the subclavian, internal jugular or femoral vein, or peripherally through the brachial or cephalic vein (peripherally inserted central catheter: PICC). Prospective observational study of all nontunneled central venous catheters over a 28-month period. Central venous catheter insertion by femoral vein: safety and effectiveness for the pediatric patient. To determine the influence of catheter site and type (single- vs triple-lumen) on infection rates associated with central venous catheterization. 3 Kanter RK, Zimmerman JJ, Stauss RH, Stoeckel KA.
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