Bard Access Systems, Inc.
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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 Cuff Erosion Through
Skin
• Catheter Embolism
• Catheter or Cuff 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.
