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Care of Central Venous Catheters

Speciality Classification
Nurses and Midwives
Location
Online
Delivery
Online
Duration
4 minutes
Provider
Ausmed

As well as being highly prevalent in critical care environments, central venous catheters also pose a number of serious risks to patients and require thorough care and assessment by healthcare workers.

central venous catheter (CVC), also known as a central line or central venous access device, is a thin, flexible tube used to deliver treatment or draw fluids (ATS 2019).

How does a CVC Work?

A CVC is inserted through the patient’s skin and into their body through a peripheral vein or proximal central vein - generally either the internal jugular (neck), femoral vein (groin) or subclavian vein (upper chest). The tip of the CVC should lie on the right side of the heart within either the superior vena cava, the right atrium, or the inferior vena cava (Smith & Nolan 2013).

Many CVCs are ‘multi-lumen catheters’, meaning the catheter has multiple (generally two or three) internal channels that can deliver several medications to the patient simultaneously (usually dispensing each fluid at a slightly different point along the catheter) (LHSC 2014).

(Note: Always check whether medications are compatible before ‘piggybacking’ them in the same lumen.)

peripherally inserted central line (PICC line) is a type of long CVC that is inserted into one of the large veins above the bend of the patient’s elbow, with the tip resting in the same place as a regular CVC (Macmillan Cancer Support 2015).

CVC insertion is a common procedure, with approximately 15,000 devices inserted every year in New South Wales ICU wards. However, it poses a variety of significant risks, with catheter-related complications occurring approximately 15% of the time overall (ACI 2014; Smith & Nolan 2013).

For this reason, it is important to have a thorough understanding of how to care for a patient with a CVC.

Delivery
Title
Care of Central Venous Catheters
Speciality Classification
Interest Areas / Topics Covered
Critical care ( ICU Cardiothoracic | High Dependency | Surgery )
Location
Provider Type
Education Provider
Duration
4 minutes
Start Date
27-Apr-2020
End Date
27-Apr-2023
CPD Points
4m of CPD
Price
Free
Location
Online
Price:
Free
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