Troubleshooting

Excessive bleeding at the insertion site is usually controlled by direct compression. If not controlled, correct any coagulopathy, If post-thrombolysis, consider tranexamic acid.

The incidence of local infection (usually coagulase negative Staphylococci or S. aureus) rises after 5 days. Routine change of catheter at 5-7 days is not necessary though change over a wire may be sufficient if the patient develops an unexplained pyrexia or neutrophilia. However, removal ± change of site is needed if the site is cellulitic or blood cultures taken through the catheter are positive.

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