What is a significant complication associated with CVAD insertion?

What is a significant complication associated with CVAD insertion?

• A. Infection at the insertion site
• B. Hypotension
• C. Pneumothorax
• D. Nerve damage

Answer: (C)

Pneumothorax is a significant complication associated with the insertion of a Central Venous Access Device (CVAD), particularly when the catheter is inserted into the subclavian or internal jugular veins. This occurs when the needle accidentally punctures the pleura, leading to air accumulating in the pleural space. The presence of air can cause the lung on the affected side to collapse partially or completely, resulting in respiratory distress and changes in oxygen saturation. Monitoring for signs of pneumothorax, such as sudden chest pain or difficulty breathing, is crucial following CVAD insertion. While other complications such as infection at the insertion site, hypotension, and nerve damage can also occur, pneumothorax is particularly notable due to its acute presentation and the need for immediate medical intervention. Understanding this risk emphasizes the importance of proper technique and monitoring during and after the insertion of CVADs.

Pneumothorax is a significant complication associated with the insertion of a Central Venous Access Device (CVAD), particularly when the catheter is inserted into the subclavian or internal jugular veins. This occurs when the needle accidentally punctures the pleura, leading to air accumulating in the pleural space. The presence of air can cause the lung on the affected side to collapse partially or completely, resulting in respiratory distress and changes in oxygen saturation.

Monitoring for signs of pneumothorax, such as sudden chest pain or difficulty breathing, is crucial following CVAD insertion. While other complications such as infection at the insertion site, hypotension, and nerve damage can also occur, pneumothorax is particularly notable due to its acute presentation and the need for immediate medical intervention. Understanding this risk emphasizes the importance of proper technique and monitoring during and after the insertion of CVADs.