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The Problem With Peripherally Inserted Central Catheters

Vineet Chopra, MD, MSc; Scott A. Flanders, MD; Sanjay Saint, MD, MPH
JAMA. 2012;308(15):1527-1528. doi:10.1001/jama.2012.12704.
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Central venous catheters (CVCs) provide reliable venous access for tasks as diverse as delivery of medication, laboratory testing, and hemodynamic monitoring and occupy a fundamental role in the management of seriously ill patients. However, despite their many benefits, CVCs are not innocuous and are associated with important complications. Among these, central line–associated bloodstream infection (CLABSI) and venous thromboembolism are significant because they are difficult to detect, increase the cost of care, and are potentially life-threatening adverse events.

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