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A peripherally inserted central catheter, or PICC line (pronounced "pick"), is a central venous catheter inserted into a vein in the arm (via the basilic or cephalic veins) rather than a vein in the neck or chest. The basilic vein is usually a better target for cannulation than the cephalic vein because it is larger and runs a straighter course ...
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.
If having thrombophlebitis or thrombosis; pain when using the access is another complication. Peripheral venous access is least prone to thrombosis, followed by midline catheters and the centrally placed catheters. Central venous access is the most common reason for venous thrombosis in children. [citation needed]
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 ...
Catheter access, sometimes called a CVC (central venous catheter), consists of a plastic catheter with two lumens (or occasionally two separate catheters) which is inserted into a large vein (usually the vena cava, via the internal jugular vein or the femoral vein) to allow large flows of blood to be withdrawn from one lumen, to enter the dialysis circuit, and to be returned via the other lumen.
When using central venous access, the subclavian (or axillary) vein is preferred due to its ease of access and lowest infectious complications compared to the jugular and femoral vein insertions. [6] Catheter complications include pneumothorax, accidental arterial puncture, and catheter-related sepsis. The complication rate at the time of ...
In these two essays, Gawande discusses his own struggles inserting a central venous catheter and performing an emergency tracheotomy that nearly results in the death of the patient. These anecdotes serve the purpose of shedding light on the fallibility of doctors and the imperfect nature of medicine.