This document discusses central venous catheters and their uses, types, insertion techniques, complications, and strategies to reduce infections. Central venous catheters are indwelling intravenous devices inserted into central veins for difficult vascular access, volume loading of medications or solutions, central venous pressure monitoring, and hemodialysis. Types include non-tunneled, tunneled, peripherally inserted central catheters, and implantable ports. Complications can be acute like hematoma or pneumothorax, or chronic like infections, thrombosis, and non-function. Infection is the most serious complication and strategies like hand hygiene and chlorhexidine skin preparation can reduce central line-associated bloodstream infections.
Central Venous Access and Catheters. Their indications and contraindications, Different types of central catheters and their advantages and disadvantages, Technique of insertion, and Complications related to central venous lines.
A central line is an intravenous device inserted into major veins in the neck, chest or groin to administer medications, fluids, and blood tests or monitor cardiovascular measurements. There are several types including short-term, PICC lines, tunneled catheters, and implanted ports. Central lines can be open-ended, requiring clamping, or closed-ended with a valve. They are used to provide long-term IV access, administer medications or fluids, and monitor central venous pressure. Proper insertion using the Seldinger technique and maximal sterile barriers are important to prevent complications like infection, thrombosis, and pneumothorax.
Central venous pressure (CVP) is the pressure measured in the central veins close to the heart and indicates right atrial pressure. CVP is measured using a catheter placed in a central vein that is connected to a manometer or pressure transducer. Normal CVP ranges from 1-7 mmHg or 5-10 cm H2O. CVP monitoring provides information about cardiac function and volume status and is used to guide fluid administration and assess patients' hemodynamic status. Complications of CVP monitoring include hemorrhage, pneumothorax, infection, and thrombosis.
This document defines and describes central venous catheters (CVCs). It discusses where CVCs can be placed, their medical uses, indications, types of catheters, procedures for insertion and care, potential complications, and documentation requirements. CVCs are catheters placed in large veins to administer medications, fluids, obtain blood samples, or measure central venous pressure. They are most commonly inserted in the neck, chest, or groin veins using the Seldinger technique under ultrasound or fluoroscopy guidance.
This document provides information on central venous catheters (CVCs). It defines a CVC as a catheter placed in a large vein, with regular sites being the neck, chest, groin, or peripherally. CVCs are used to administer medications, fluids, obtain blood tests, and measure central venous pressure. The document describes CVC lumen types, catheter types including tunneled and non-tunneled, insertion techniques using the Seldinger method, complications, and care/maintenance of CVCs.
This document discusses central venous catheters. It describes central lines as flexible tubes inserted into large veins near the heart to deliver fluids, medications, blood products, and monitor central venous pressure. It outlines different types of central lines including non-tunneled, tunneled, and implanted ports. The document discusses indications, contraindications, complications, and proper insertion and maintenance techniques to prevent infections like chlorhexidine skin antisepsis and dressing changes. The goal is to promote infection prevention best practices for central lines.
This document discusses central venous catheters. It describes central lines as flexible tubes inserted into large veins near the heart to deliver fluids, medications, blood products, and monitor central venous pressure. It outlines different types of central lines including non-tunneled, tunneled, and implanted ports. The document discusses indications, contraindications, complications, and proper insertion and maintenance techniques to prevent infections like chlorhexidine skin antisepsis and dressing changes. The goal is to promote infection prevention best practices for central lines.
This document discusses central venous catheters and their uses, types, insertion techniques, complications, and strategies to reduce infections. Central venous catheters are indwelling intravenous devices inserted into central veins for difficult vascular access, volume loading of medications or solutions, central venous pressure monitoring, and hemodialysis. Types include non-tunneled, tunneled, peripherally inserted central catheters, and implantable ports. Complications can be acute like hematoma or pneumothorax, or chronic like infections, thrombosis, and non-function. Infection is the most serious complication and strategies like hand hygiene and chlorhexidine skin preparation can reduce central line-associated bloodstream infections.
Central Venous Access and Catheters. Their indications and contraindications, Different types of central catheters and their advantages and disadvantages, Technique of insertion, and Complications related to central venous lines.
A central line is an intravenous device inserted into major veins in the neck, chest or groin to administer medications, fluids, and blood tests or monitor cardiovascular measurements. There are several types including short-term, PICC lines, tunneled catheters, and implanted ports. Central lines can be open-ended, requiring clamping, or closed-ended with a valve. They are used to provide long-term IV access, administer medications or fluids, and monitor central venous pressure. Proper insertion using the Seldinger technique and maximal sterile barriers are important to prevent complications like infection, thrombosis, and pneumothorax.
Central venous pressure (CVP) is the pressure measured in the central veins close to the heart and indicates right atrial pressure. CVP is measured using a catheter placed in a central vein that is connected to a manometer or pressure transducer. Normal CVP ranges from 1-7 mmHg or 5-10 cm H2O. CVP monitoring provides information about cardiac function and volume status and is used to guide fluid administration and assess patients' hemodynamic status. Complications of CVP monitoring include hemorrhage, pneumothorax, infection, and thrombosis.
This document defines and describes central venous catheters (CVCs). It discusses where CVCs can be placed, their medical uses, indications, types of catheters, procedures for insertion and care, potential complications, and documentation requirements. CVCs are catheters placed in large veins to administer medications, fluids, obtain blood samples, or measure central venous pressure. They are most commonly inserted in the neck, chest, or groin veins using the Seldinger technique under ultrasound or fluoroscopy guidance.
This document provides information on central venous catheters (CVCs). It defines a CVC as a catheter placed in a large vein, with regular sites being the neck, chest, groin, or peripherally. CVCs are used to administer medications, fluids, obtain blood tests, and measure central venous pressure. The document describes CVC lumen types, catheter types including tunneled and non-tunneled, insertion techniques using the Seldinger method, complications, and care/maintenance of CVCs.
This document discusses central venous catheters. It describes central lines as flexible tubes inserted into large veins near the heart to deliver fluids, medications, blood products, and monitor central venous pressure. It outlines different types of central lines including non-tunneled, tunneled, and implanted ports. The document discusses indications, contraindications, complications, and proper insertion and maintenance techniques to prevent infections like chlorhexidine skin antisepsis and dressing changes. The goal is to promote infection prevention best practices for central lines.
This document discusses central venous catheters. It describes central lines as flexible tubes inserted into large veins near the heart to deliver fluids, medications, blood products, and monitor central venous pressure. It outlines different types of central lines including non-tunneled, tunneled, and implanted ports. The document discusses indications, contraindications, complications, and proper insertion and maintenance techniques to prevent infections like chlorhexidine skin antisepsis and dressing changes. The goal is to promote infection prevention best practices for central lines.
IV cannulation, also called IV catheterization, involves inserting a cannula into a vein to provide venous access for administering fluids, medications, blood transfusions, and drawing blood samples. There are three main types of IV catheters: central venous catheters inserted into large chest or neck veins; midline catheters placed in upper arm veins; and peripheral catheters placed in hand or lower arm veins. Potential complications from IV catheters include extravasation, hematoma, phlebitis, venous spasm, occlusion, thrombophlebitis, and infection.
This document provides information on central venous catheters including definitions, indications, complications, and nursing care. It defines a central venous catheter and its uses. It lists indications such as monitoring central venous pressure, long-term IV access, and chemotherapy. Potential complications include infection, arrhythmias, hemorrhage and thrombosis. It describes how to measure central venous pressure and factors that influence it. Finally, it outlines the procedure for changing the dressing around a central venous catheter insertion site.
Peripheral intravenous catheters are used to provide venous access for blood sampling, fluid administration, medications, and other purposes. They involve inserting a small gauge cannula into a superficial vein in the arm or hand. Central venous catheters are longer catheters placed into larger central veins to administer irritating or large volume substances. Proper techniques like using ultrasound guidance and the Seldinger technique aim to safely place the catheter and minimize complications like infection, bleeding, or injury to surrounding structures. Ongoing care of the insertion site and catheter is also important.
Precautions for Central Venous Catheters in NeonatesKing_maged
Includes: different methods of venous access, CDC guidelines for prevention of catheter-related infections as well as precautions for umbilical catheters use .. Prepared by Dr. Maged Zakaria, NICU Resident, Ain-Shams University Maternity Hospital
This document provides information about central venous catheters and PICC lines, including their indications, contraindications, anatomy, insertion procedures, complications, and care. It discusses the internal jugular, subclavian, and femoral vein access sites and provides details on the Seldinger technique for catheter insertion. The roles of nurses in central line care including dressing changes, flushing, and preventing infections are also covered.
An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive treatment medicine.
Intravenous (IV) therapy involves infusing liquids directly into veins. It has been used since the 1830s to treat cholera. Common uses of IV therapy include fluid replacement, medication delivery, blood transfusions, and total parenteral nutrition. IV fluids are categorized as crystalloids or colloids and can be isotonic, hypotonic, or hypertonic depending on their concentration of electrolytes. Various devices are used for IV access including needles, peripheral IV lines, central lines, and implanted ports. Precise control of infusion rates requires pumps. Potential risks include infection, phlebitis, infiltration of tissues, and embolisms.
Central lines are catheters placed in large veins to allow delivery of fluids, drugs, and blood draws. They have multiple ports and are longer than typical IV lines. The document discusses types of central lines including PICCs, subclavian, internal jugular, and femoral lines. It describes parts of central lines and provides details on indications, site selection, insertion procedure including sterile precautions, positioning, and confirmation of proper placement. Potential complications are also summarized.
An intracatheter is a plastic tube inserted into a blood vessel. They were first used in 1929 when a surgeon inserted a catheter into his own heart. There are several types including peripheral, central venous, and pulmonary artery catheters. They are made of biocompatible polymers like polyurethane and silicone. Size is determined by gauge or French units, with smaller gauges and French sizes indicating thinner catheters. Complications can include infection, infiltration of fluids, thrombosis, and air embolism. Larger central venous catheters are often needed for critically ill patients requiring multiple therapies.
Central Venous Access Devices Made Incredibly Easy!Cathy Lewis
Target audience: RNs during New Hire Orientation and nurses needing additional training on identifying, assessing, and maintaining central lines.
Developed in conjunction with subject matter experts (SMEs) from IV Team. Principles based on practice at this particular institution.
The intensive care unit (ICU) provides specialized monitoring and treatment for critically ill patients. There are various types of ICUs depending on the specific medical needs, such as surgical ICU, cardiac ICU, and pediatric ICU. The ICU is equipped to provide life support and closely monitor vital functions through equipment like cardiac monitors, ventilators, and invasive pressure monitors. Patients admitted to the ICU typically have critical illnesses, organ failures, or require major surgery and post-operative care. The ICU aims to optimize life support and adequate monitoring through the use of specialized equipment, monitoring devices, catheters, drains, and medical staff expertise.
PPT - central line(Central Venous Catheters)Abhishek Singh
A central line, or central venous catheter, is a thin tube placed in a large vein in the neck, chest, groin, or arm to administer fluids, blood, medications, or perform medical tests. There are several types of central lines, including PICCs which are inserted into the arm and run to the heart, ports which are entirely under the skin, and tunneled CVCs which enter the chest near the collarbone. Central lines can be coated or impregnated with antibiotics or antiseptics to prevent infection and are used for administration of drugs or fluids long-term or for hemodialysis.
This document provides an overview of invasive procedures including peripheral venous cannulation, central lines, arterial lines, and intraosseous infusion. It discusses indications, contraindications, equipment needed, and techniques for each procedure. Complications are also reviewed. Key points include choosing the appropriate cannula size based on intended use, selecting sites that provide optimal venous access, using sterile technique to minimize infection risk, and being prepared for emergencies by having the skills for intraosseous infusion when intravenous access cannot be quickly obtained.
The document provides an overview of basic IV therapy and central vascular access devices. It describes peripheral and central venous anatomy, different types of central venous access devices, and considerations for vein and catheter selection. Complications associated with peripheral IVs and central lines are discussed, along with nursing care, maintenance, and documentation.
Central venous pressure (CVP) describes the blood pressure in the thoracic vena cava near the right atrium. Normal CVP ranges from 0-15 cm H2O depending on measurement point. CVP is affected by factors like volume status, respiration, and heart function. Central venous catheters are used to monitor CVP and administer IV medications and fluids long-term. Types include non-tunneled short term catheters and tunneled or implanted ports for longer term use. Nurses must properly insert, maintain, and discontinue central lines to prevent complications and ensure accurate CVP readings.
This document provides information and best practices for central and peripherally inserted central catheters (PICCs). It discusses indications for central lines, types of central lines including non-tunneled and PICCs, catheter placement and tips, dressing changes, flushing procedures, and documentation standards. The document emphasizes following Centers for Disease Control and Prevention guidelines to prevent infections, including using sterile technique and chlorhexidine for dressing changes and site access. It also stresses the importance of daily site assessments and prompt removal of unnecessary lines.
This document discusses various types of intravenous solutions and vascular access devices used for infusion therapy. It describes isotonic, hypertonic, and hypotonic intravenous solutions and how they affect fluid levels in the body. It also outlines different vascular access devices like peripheral catheters, midline catheters, peripherally inserted central catheters, non-tunneled central catheters, tunneled central catheters, implanted ports, and their uses. It briefly discusses complications of intravenous therapy and considerations for older adults.
In medicine, a central venous catheter ("central line", "CVC", "central venous line" or "central venous access catheter") is a catheter placed into a large vein in the neck (internal jugular vein), chest (subclavian vein or axillary vein) or groin (femoral vein)
This document discusses various methods of intravenous access and infusion, including peripheral IV access, central venous access, intravenous fluids, IV administration sets, blood sampling, intraosseous infusion, and potential complications. It provides details on equipment, techniques, sites, and considerations for IV access and administration of fluids and medications.
CVP monitoring involves inserting a catheter into a large central vein and connecting it to a pressure monitoring device to measure central venous pressure. CVP provides information about right ventricular function and intravascular volume status. It is used to guide fluid resuscitation and assess the effectiveness of treatments for conditions like heart failure. Key steps in CVP monitoring include positioning the patient supine, zeroing the monitoring device at the level of the right atrium, and observing pressure waveforms and readings to evaluate volume status and cardiac function. Nurses are responsible for assessing the catheter site for complications and maintaining the sterility and function of the CVP monitoring system.
IV cannulation, also called IV catheterization, involves inserting a cannula into a vein to provide venous access for administering fluids, medications, blood transfusions, and drawing blood samples. There are three main types of IV catheters: central venous catheters inserted into large chest or neck veins; midline catheters placed in upper arm veins; and peripheral catheters placed in hand or lower arm veins. Potential complications from IV catheters include extravasation, hematoma, phlebitis, venous spasm, occlusion, thrombophlebitis, and infection.
This document provides information on central venous catheters including definitions, indications, complications, and nursing care. It defines a central venous catheter and its uses. It lists indications such as monitoring central venous pressure, long-term IV access, and chemotherapy. Potential complications include infection, arrhythmias, hemorrhage and thrombosis. It describes how to measure central venous pressure and factors that influence it. Finally, it outlines the procedure for changing the dressing around a central venous catheter insertion site.
Peripheral intravenous catheters are used to provide venous access for blood sampling, fluid administration, medications, and other purposes. They involve inserting a small gauge cannula into a superficial vein in the arm or hand. Central venous catheters are longer catheters placed into larger central veins to administer irritating or large volume substances. Proper techniques like using ultrasound guidance and the Seldinger technique aim to safely place the catheter and minimize complications like infection, bleeding, or injury to surrounding structures. Ongoing care of the insertion site and catheter is also important.
Precautions for Central Venous Catheters in NeonatesKing_maged
Includes: different methods of venous access, CDC guidelines for prevention of catheter-related infections as well as precautions for umbilical catheters use .. Prepared by Dr. Maged Zakaria, NICU Resident, Ain-Shams University Maternity Hospital
This document provides information about central venous catheters and PICC lines, including their indications, contraindications, anatomy, insertion procedures, complications, and care. It discusses the internal jugular, subclavian, and femoral vein access sites and provides details on the Seldinger technique for catheter insertion. The roles of nurses in central line care including dressing changes, flushing, and preventing infections are also covered.
An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive treatment medicine.
Intravenous (IV) therapy involves infusing liquids directly into veins. It has been used since the 1830s to treat cholera. Common uses of IV therapy include fluid replacement, medication delivery, blood transfusions, and total parenteral nutrition. IV fluids are categorized as crystalloids or colloids and can be isotonic, hypotonic, or hypertonic depending on their concentration of electrolytes. Various devices are used for IV access including needles, peripheral IV lines, central lines, and implanted ports. Precise control of infusion rates requires pumps. Potential risks include infection, phlebitis, infiltration of tissues, and embolisms.
Central lines are catheters placed in large veins to allow delivery of fluids, drugs, and blood draws. They have multiple ports and are longer than typical IV lines. The document discusses types of central lines including PICCs, subclavian, internal jugular, and femoral lines. It describes parts of central lines and provides details on indications, site selection, insertion procedure including sterile precautions, positioning, and confirmation of proper placement. Potential complications are also summarized.
An intracatheter is a plastic tube inserted into a blood vessel. They were first used in 1929 when a surgeon inserted a catheter into his own heart. There are several types including peripheral, central venous, and pulmonary artery catheters. They are made of biocompatible polymers like polyurethane and silicone. Size is determined by gauge or French units, with smaller gauges and French sizes indicating thinner catheters. Complications can include infection, infiltration of fluids, thrombosis, and air embolism. Larger central venous catheters are often needed for critically ill patients requiring multiple therapies.
Central Venous Access Devices Made Incredibly Easy!Cathy Lewis
Target audience: RNs during New Hire Orientation and nurses needing additional training on identifying, assessing, and maintaining central lines.
Developed in conjunction with subject matter experts (SMEs) from IV Team. Principles based on practice at this particular institution.
The intensive care unit (ICU) provides specialized monitoring and treatment for critically ill patients. There are various types of ICUs depending on the specific medical needs, such as surgical ICU, cardiac ICU, and pediatric ICU. The ICU is equipped to provide life support and closely monitor vital functions through equipment like cardiac monitors, ventilators, and invasive pressure monitors. Patients admitted to the ICU typically have critical illnesses, organ failures, or require major surgery and post-operative care. The ICU aims to optimize life support and adequate monitoring through the use of specialized equipment, monitoring devices, catheters, drains, and medical staff expertise.
PPT - central line(Central Venous Catheters)Abhishek Singh
A central line, or central venous catheter, is a thin tube placed in a large vein in the neck, chest, groin, or arm to administer fluids, blood, medications, or perform medical tests. There are several types of central lines, including PICCs which are inserted into the arm and run to the heart, ports which are entirely under the skin, and tunneled CVCs which enter the chest near the collarbone. Central lines can be coated or impregnated with antibiotics or antiseptics to prevent infection and are used for administration of drugs or fluids long-term or for hemodialysis.
This document provides an overview of invasive procedures including peripheral venous cannulation, central lines, arterial lines, and intraosseous infusion. It discusses indications, contraindications, equipment needed, and techniques for each procedure. Complications are also reviewed. Key points include choosing the appropriate cannula size based on intended use, selecting sites that provide optimal venous access, using sterile technique to minimize infection risk, and being prepared for emergencies by having the skills for intraosseous infusion when intravenous access cannot be quickly obtained.
The document provides an overview of basic IV therapy and central vascular access devices. It describes peripheral and central venous anatomy, different types of central venous access devices, and considerations for vein and catheter selection. Complications associated with peripheral IVs and central lines are discussed, along with nursing care, maintenance, and documentation.
Central venous pressure (CVP) describes the blood pressure in the thoracic vena cava near the right atrium. Normal CVP ranges from 0-15 cm H2O depending on measurement point. CVP is affected by factors like volume status, respiration, and heart function. Central venous catheters are used to monitor CVP and administer IV medications and fluids long-term. Types include non-tunneled short term catheters and tunneled or implanted ports for longer term use. Nurses must properly insert, maintain, and discontinue central lines to prevent complications and ensure accurate CVP readings.
This document provides information and best practices for central and peripherally inserted central catheters (PICCs). It discusses indications for central lines, types of central lines including non-tunneled and PICCs, catheter placement and tips, dressing changes, flushing procedures, and documentation standards. The document emphasizes following Centers for Disease Control and Prevention guidelines to prevent infections, including using sterile technique and chlorhexidine for dressing changes and site access. It also stresses the importance of daily site assessments and prompt removal of unnecessary lines.
This document discusses various types of intravenous solutions and vascular access devices used for infusion therapy. It describes isotonic, hypertonic, and hypotonic intravenous solutions and how they affect fluid levels in the body. It also outlines different vascular access devices like peripheral catheters, midline catheters, peripherally inserted central catheters, non-tunneled central catheters, tunneled central catheters, implanted ports, and their uses. It briefly discusses complications of intravenous therapy and considerations for older adults.
In medicine, a central venous catheter ("central line", "CVC", "central venous line" or "central venous access catheter") is a catheter placed into a large vein in the neck (internal jugular vein), chest (subclavian vein or axillary vein) or groin (femoral vein)
This document discusses various methods of intravenous access and infusion, including peripheral IV access, central venous access, intravenous fluids, IV administration sets, blood sampling, intraosseous infusion, and potential complications. It provides details on equipment, techniques, sites, and considerations for IV access and administration of fluids and medications.
CVP monitoring involves inserting a catheter into a large central vein and connecting it to a pressure monitoring device to measure central venous pressure. CVP provides information about right ventricular function and intravascular volume status. It is used to guide fluid resuscitation and assess the effectiveness of treatments for conditions like heart failure. Key steps in CVP monitoring include positioning the patient supine, zeroing the monitoring device at the level of the right atrium, and observing pressure waveforms and readings to evaluate volume status and cardiac function. Nurses are responsible for assessing the catheter site for complications and maintaining the sterility and function of the CVP monitoring system.
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2. Definition
A central venous catheter (CVC) is a thin, flexible tube inserted
into a large vein near the heart, typically the superior vena cava,
to administer medication, fluids, blood products, or to measure
central venous pressure.
2
These catheters are used in various medical settings, including
intensive care units, surgery, and long-term treatments.
They allow for the rapid infusion of fluids or medications,
monitoring of central venous pressure, and sampling of blood.
3. Indications
Monitoring Central Venous Pressure (CVP)
Advanced hemodynamic monitoring (PICCO, PA catheter)
Central venous oxygenation monitoring
IV access
Infusion of irritant substances
3
8. Care of CVP Line
Keep the dressing in place at all times.
Avoid sharp objects near your line.
Avoid getting the dressing wet.
Never open the clamps or remove the end caps from the lumens.
Avoid pulling on the catheter.
8