Table 1.
Complication | Definition |
---|---|
Intra-operative lesion of nerves | Clinical diagnosis and/or EMG findings |
Dislocation of the catheter and/or the port chamber | Radiological finding |
Incompatibility of contrast agent | Any allergic reaction against a contrast agent needing medical treatment with drugs |
Thrombosis | Sonographic findings and/or phlebography |
Post-operative bleeding | Clinical diagnosis during reoperation |
Haematoma | Clinical diagnosis, no reoperation necessary |
Disconnection or breakage of the catheter | Radiological findings, findings after explantation |
Extravasation of injected fluid | Radiological findings and/or clinical diagnosis |
Wound infection | Clinical diagnosis, wound has to be reopened and/or antibiotic treatment |
Catheter sepsis | Two or more of the following symptoms: |
Temperature over 38.3°C or under 36°C; | |
Heart rate over 90 beats per minute; | |
Respiration rate over 20 breaths per minute, PaCO2 < 32 mmHg (spontaneous breathing) or PaO2/FiO2 < 200 mmHg (mechanical ventilation); | |
Total peripheral WBC count >12 G/L or WBC <4.0 G/L or >10% immature neutrophils (bands), regardless of total peripheral WBC count; | |
Plasma C-reactive protein >2 SD above normal value and positive findings in bacteriology of the port catheter pike | |
Cutaneous necrosis | Clinical diagnosis and/or histological finding |
Pinch-off phenomenon | Radiological findings and/or clinical diagnosis |
EMG: electromyography; PaCO2: partial pressure of carbon dioxide; PaO2: partial pressure of oxygen; FiO2: fraction of inspiratory oxygen; mmHg: millimetres of mercury; WBC: white blood cells.