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. 2021 Jun 16;134(16):1894–1896. doi: 10.1097/CM9.0000000000001522

Recommendation 5: Prevention and management of common complications.

Complications Prevention and treatment Level of evidence Recommendation strength
5.1 Pneumothorax, hemothorax, air embolism, misdirected artery, etc Ultrasound localization or intra-operative use of ultrasound-guided venipuncture[13,14] I Class A
5.2 Catheter-associated bloodstream infections Strict asepsis; empirical use of antibiotics until drug sensitivity test results are available, and selection of drugs based on drug sensitivity after clarification of the infecting agent; removal of intravenous ports when treatment is ineffective[8,14] II Class A
5.3 Catheter-associated thrombosis Avoid repeated punctures; position the catheter tip correctly. Once catheter-associated thrombosis occurs, anticoagulation is preferred[14] II Class A