Central Venous Catheterization - VCU Internal Medicine Electronic ...

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Central Venous Catheters and Complications • Central venous catheters are multilumen teflon catheters inserted via large veins • 5,000,000 CVC in U.S. annually • Potential for serious complications » Mechanical (pneumothorax, etc) » Infectious • Objectives: Improve safety of central venous catheterization
Central Venous Catheterization • Indications » Infusion of vasopressors, TPN, caustic solutions » Venous access: emergent, long-term, difficult » Placement of intravascular devices: Swan Ganz catheter, pacemaker, hemodialysis catheter • Relative contraindications » Lack of patient cooperation, anatomic distortion, thrombosis, severe contralateral lung disease, infection, bleeding diathesis/coagulopathy
Page 1: May 4, 2004 Tubes, Lines, and Vents
Page 5 and 6: Subclavian Vein Site • Secure CVC
Page 7 and 8: Femoral Vein • Technically straig
Page 9 and 10: Basilic Vein • Puncture of visibl
Page 11 and 12: CVC Indications and Recommended Ins
Page 13 and 14: Full Barrier Precautions Click here
Page 15 and 16: CVC: Technique • Site selection b
Page 17 and 18: Subclavian Vein: Landmarks Click he
Page 19 and 20: Internal Jugular: Anatomy Click her
Page 21 and 22: Ultrasound Guidance of CVC • 2-D
Page 23 and 24: Internal Jugular: Ultrasound Locali
Page 25 and 26: Internal Jugular: Local Anesthetic
Page 27 and 28: The Importance of Local Anesthetic
Page 29 and 30: Internal Jugular: Inserting Cathete
Page 31 and 32: Central Venous Catheterization: Ear
Page 33 and 34: CVC-related Pneumothorax • Follow
Page 35 and 36: CVC-related Pneumothorax Internal j
Page 37 and 38: Accidental Arterial Puncture • Co
Page 39 and 40: Guidewire Guidelines • Functions
Page 41 and 42: Distractions Can Interfere With Tec
Page 43 and 44: Preventing Mechanical Complications
Page 45 and 46: CVC Infection: Mechanisms • Growt
Page 47 and 48: Guidelines for the Prevention of In
Page 49 and 50: Chlorhexidine is Better than Povido
Page 51 and 52: Prospective Multicenter Comparison
Page 53 and 54:
Comparison of CVC Insertion Sites:
Page 55 and 56:
CVC: Additional Recommendations •
Page 57 and 58:
CVC: Summary • Learn proper techn
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Central Venous Catheterization - VCU Internal Medicine Electronic ...

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