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The percutaneous CVC is inserted directly through the skin. The subclavian (left), internal (right) or external jugular, or femoral vein is used. There are several types of central venous catheters; these can be further subdivided by site (where the catheter is inserted into the body) as well as the specific type of catheter used. [39]
Central venous catheters (CVC) are catheters inserted into the large veins of the arm, neck, chest, or groin. CVC's are used for delivery of medications, nutrients, or blood products for a longer periods, usually weeks to months. [1] There are several reasons for the use of central venous access: [2] To get more than one drug at a time
The most common complications are: catheter blockage (7.4%), and catheter-related infection (5.6%). Other complications are: malpositioning of the catheter, venous thrombosis, catheter leak or dislodgement. [3] The common carotid artery may be injured during the puncture of the internal jugular vein as the artery lies close to the vein.
A Hickman line two-lumen catheter inserted on the patient's left side. Scars at the base of the neck indicate the venotomy site and insertion point into the left jugular vein . A Hickman line is a central venous catheter most often used for the administration of chemotherapy or other medications, as well as for the withdrawal of blood for analysis.
A peripherally inserted central catheter (PICC or PICC line), also called a percutaneous indwelling central catheter or longline, [1] is a form of intravenous access that can be used for a prolonged period of time (e.g., for long chemotherapy regimens, extended antibiotic therapy, or total parenteral nutrition) or for administration of substances that should not be done peripherally (e.g ...
Groshongs may be left in place for extended periods and are used when long-term intravenous therapy is needed, such as for chemotherapy.Similar to the Hickman line, the tip of the catheter is in the superior vena cava, and the catheter is tunneled under the skin to an incision on the chest wall, where the distal end of the catheter exits the body.
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In some situations, venous access is obtained by inserting catheters into the large central veins of the trunk of the body such as the internal jugular, subclavian, or femoral veins. This type of venous access is performed with central venous catheters (CVCs) , and is required in certain situations where peripheral access is inadequate.
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