Femoral vs Jugular Venous Catheterization and Risk of Nosocomial Events in Adults Requiring Acute Renal Replacement Therapy: A Randomized Controlled Trial

Ultrasound-Guided Femoral Dialysis Access Placement

“…Common sites for DC insertion include the internal jugular vein (IJV), subclavian vein (SCV), and femoral vein (FV) (1). There is a higher incidence of thrombosis and higher rates of complications associated with SCV insertion, hence IJV and FV are generally preferred (2) The major deterrent to FV catheter placement was a high risk of infection, but recent data indicate that FV catheterization is not associated with any higher risk of infection than IJV catheterization (3).…”

Vascular Access for Hemodialysis

“…There is conflicting evidence concerning the risk of infection based upon the site of insertion. In a large prospective randomized study (750 patients), the risk of infection was not reduced with jugular versus femoral venous catheterization [106]. But other prospective nonrandomized studies suggest, that the infection risk appears to sequentially increase for hemodialysis catheters inserted into the subclavian, internal jugular, and femoral veins, respectively [101,107].…”

Ambulating With Pulmonary Artery or Femoral Catheters in Place

“…Generally, reports of complications from cannulation of the internal jugular, subclavian, and femoral veins as well as the femoral artery focus on events during insertion of catheters, not on subsequent events associated with catheter manipulation or with patients' movement or activity. [1][2][3][4] Although some reports 1,2 describe increased risk of infection with femorally inserted catheters as opposed to catheters inserted via the subclavian or jugular vein, none of these reports detail whether catheters are manipulated via patients' activity. I do not see any available standards or articles related to safety of ambulation with small-gauge (20 gauge) "soft" femoral catheters.…”