First of all Karen, this conclusion, imo, is nonsensical. Yes, having a central line in increases the chance of large vessel thrombosis, but the benefit of having it is so much better than the inherent risk. Bloodstream infections can occur with all types of IV catheters especially if ANTT is not followed. Pneumothorax is a concern only upon catheter placement, and arterial injury??? I've seen unskilled MD's attempt vascular line placement and go intra-arterial instead of in the vein, but again, those are unskilled physicians.
Also, greater than 1 out of 10 had issues... that is unacceptable.
And, it says the risk may be overstated and unfounded. The osmolarity of 3% Sodium Chloride is > 1,000. Anything over 900, has a much greater probability of causing serious harm to the smaller blood vessels in the arms. Circulation/blood flow is nowhere near what it is in the central venous system. Disagree with this "study".
However, as said in my earlier post, I would much rather see this infused via SPC, than a Midline, and that was really what my comment was about.