What Are The Indications For A Central Venous Line?

What does central venous access mean?

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(SEN-trul VEE-nus AK-ses KA-theh-ter) A device used to draw blood and give treatments, including intravenous fluids, drugs, or blood transfusions.

A thin, flexible tube is inserted into a vein, usually below the collarbone..

Does a central line go into the heart?

What Are Central Lines? A central line (or central venous catheter) is like an intravenous (IV) line. But it is much longer than a regular IV and goes all the way up to a vein near the heart or just inside the heart.

How many types of central lines are there?

Three common types of CVC are a tunnelled central venous catheter, a peripherally inserted central catheter (PICC) and a subcutaneous (implanted) port.

What are signs of CVC problems?

– Pain, redness and/or swelling on flushing or administration of fluids; – Partial or withdrawal occlusion; – Signs of catheter embolism (that is, acute onset of any or all of the following: anxiety, pallor, cyanosis, shortness of breath, rapid weak pulse, hypotension, chest pain, loss of consciousness);

What can go wrong with a PICC line?

PICC line complications can include:Bleeding.Nerve injury.Irregular heartbeat.Damage to veins in your arm.Blood clots.Infection.A blocked or broken PICC line.

What is the purpose of a central venous line?

A central venous catheter, also known as a central line, is a tube that doctors place in a large vein in the neck, chest, groin, or arm to give fluids, blood, or medications or to do medical tests quickly.

What is the difference between PICC Line and Central Line?

A PICC line is a longer catheter that’s also placed in the upper arm. Its tip ends in the largest vein of the body, which is why it’s considered a central line. PICC stands for “peripherally inserted central-line catheter.” A CVC is identical to a PICC line, except it’s placed in the chest or neck.

How do you flush a central line?

Flushing the central lineUse an alcohol swab to rub the cap of the lumen you want to flush. … Hold the end of the central line so it does not touch anything.If you have a clamp on the lumen, open it.Slowly inject heparin, or quickly inject saline solution.More items…

When should I change my central line?

Perform catheter site care with chlorhexidine at dressing changes. Change gauze dressing every 2 days, clear dressings every 7 days (and more frequently if soiled, damp, or loose). Compliance with the central line bundles can be measured by simple assessment of completion of each item.

Why is strict sterile technique so important in care of central lines?

Although both peripheral and central venous access devices are managed and maintained with sterile technique, additional measures such as wearing sterile gloves and masks are needed with central venous lines because their risk for infection is much greater than that of a peripheral intravenous line.

What is the most common immediate complication of central line insertion?

Immediate risks of peripherally inserted catheters include injury to local structures, phlebitis at insertion site, air embolism, hematoma, arrhythmia, and catheter malposition. Late complications include infection, thrombosis, and catheter malposition.

What are examples of central lines?

Types of central lines include:Peripherally inserted central catheter (PICC). This line is placed in a large vein in the upper arm, or near the bend of the elbow.Subclavian line. This line is placed into the vein that runs behind the collarbone.Internal jugular line. … Femoral line.

What is the difference between peripheral and central IV lines?

A central venous catheter differs from an intravenous (IV) catheter placed in the hand or arm (also called a “peripheral IV”). A central line is longer, with a larger tube, and is placed in a large (central) vein in the neck, upper chest or groin.

What are the risks of a central line?

A variety of complications are associated with central venous catheters, including those associated with catheter insertion and immediate access-related issues, as well as longer-term (>1 week) complications such as catheter malfunction, central vein stenosis or thrombosis, and catheter-related infection.