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2025, Number 1

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Med Crit 2025; 39 (1)

Femoral central venous catheter. A last resort or an underutilized insertion site? Case series and bibliographic review

Ortiz-Larios F, Hernández-Heredia HT, Cruz-Muñoz B

Language: Spanish
References: 24
Page: 74-79
PDF size: 348.33 Kb.


ABSTRACT

Introduction: the placement of a central venous catheter (CVC) is a procedure frequently performed in critical ill patients, however, there are a limited number of points for its insertion. The femoral route offers multiple advantages, but it is also associated with more complications such as infection or thrombosis, therefore, it is traditionally considered the last option. The aim of this review was to check whether these statements are supported by clinical evidence. Clinical cases: we present a series of three cases that occurred in a short period of time in our unit, where femoral CVC was the best option and which motivated the bibliographic review of the subject. Results: we evaluated the best available evidence on the three main insertion sites (jugular, subclavian and femoral) and found that the femoral CVC is associated with an acceptable rate of infectious and mechanical complications, comparable to jugular or subclavian CVC, making it an excellent option to obtain a central line quickly and safely, mainly in emergency conditions such as in critical or hemodynamically unstable patients. Conclusions: the femoral route is a feasible and safe option for placing a CVC, mainly in emergency conditions and should not be considered as the last option.


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