Choice for deep venous catheterization in patients with liver failure

Objective:To investigate the optimal catheterization access in patients with liver failure.Methods:Different ways of deep venous catheterization were done based on clinical needs in patients with liver failure, incidence of complications such as hematoma, bleeding at the puncture point, ecchymosis, catheter-related infections were observed. Results: Incidence of femoral vein puncture related ecchymosis was significantly higher than that of internal jugular vein (P 0.01). Bleeding from internal jugular vein puncture point was obviously higher than that from femoral vein (P 0.01);and artery injuries in femoral vein group was higher than that in internal jugular vein (P0.05).The incidence of bleeding at puncture point for internal jugular vein catheterization was higher than that for femoral vein in the same patients (P0.05),ecchymosis in femoral vein puncture was higher than that in internal jugular vein (P 0.001).Conclusions:Internal jugular vein is the safest and the most extensively used deep venous catheterization way in patients with liver failure.Femoral vein is the preferred way when blood purification, and plasma exchange are needed.