Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 9 views

    Central Line 2

    Uploaded by

    Biswajit

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd

    Central Line 2

    Uploaded by

    Biswajit
    9 views1 page

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    9 views1 page

    Central Line 2

    Uploaded by

    Biswajit

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    You are on page 1of 1
    Femoral Vein Advantage + Easy access + Does not interfere with cardiopulmonary esusitaton (CPR) Does ot interfere with airway access. Disadvantage Infections {+ Deep vein thrombosis + Recoperitoneal bleed + Difficult inambulatory patients + Delayed delivery of drugs during CPR, Technique "The FV fg cannuleed 1-15 om medial wp the femora ate pulatlans and 2-3.aminferiorto the inguinal igament.Ifemoral arterial pulsations ae feeble or ‘weak thenthe FViscannultedas follows: Divide the space between te anterior ‘peri ize spine and the pubic tuborcle into three segments. The femoral artery lies where the medial segment mects the other two segments and the Vics 1-1.5 em medal to this point. The nocd is inserted 2-3 em below the ‘nguinal ligament divested cephalic at 5-00" angle Central Venous Catheter ‘Material and Properties Central venous catheters ate pobyureth ‘catheters with characteristics ker ‘Tensile strength, which allows for thinnerwall construction and smaller external deter + High degree of iocorapabiiy, nk and thrombus resistance + Ability to soften within the body. (commonty used for Types of Catheter, + Based on lumen ofeatheter: Single or multiple amen catheter 2 Drugs coated catheter: Catneter coatings may include te bonding of he catheter surfice with antiicrobial and/or aaviseptic agers to decrease Cathetereated infection and thrombotic complications, Heparn-bonding process is one example. Other agens reported in the Iteratue Include Sujodessuch as minocycline fampin,andsepc agemikecMorhesidine ander sulfadiazine + Choice of catheters: tis based on the clinical sssessment and needs ofthe ‘patient, Usally depends on the basis of lumens, length approach and the specialized coated catheters + Flow rate of eateter: eis important ro remembee thatthe fow in central lines fs determined by the diameter ofthe catheter and the length of he line (Poiseuile’s law). Thus a 16 gauge peripheral intravenous (1) wil hae far ‘rater How ates (upto 20 ml/min) than a double or ile lumen CVC. Site selection: The procedure begins with idenbication of optimal ste, ‘densiving relevant landmarks and patient postioning for site aceess and ‘operator comfort. Maina serie barrier precautions (Pigs 6 to): Maximum sterile barrier Constittes use of surgical cep, surgical mask, sterile gown and gloves, protective eye shield, anda large sterile drape that covers the print’ entire body fom head oto. This technique has shown sgnfcant reduction in the Incidence of eateter related bloodstream infections (CRBS). Any devaon from these standard precautions, except in emergent liethreatening situation should result in an immediate cessation of cannulation until dhe ‘deviation Iseorteced, ‘Ste preparation: Chlomexdin gluconate stele preparation should be weed for atleast 30 seconds (eg. internal [ugularcannulatlon i planned then prepare from extemal suditory meatus 10 clavicle and tothe trachea). For ‘hildren less than 2 months ol, povidone iene may be use Airembolus + Artery puncare Pericardial tamponade 2 Local tematom + Gatheterembolas 2 infotive 2 Leal ellis = Bloodstream infection. Pulmonary + Peumodhorax 1 Hemothores + Cylothorax Hemomediadinm 1 Neck hematoma with tracheal abstruction. CConra-Hine bundle includes the following elements: + Adherence hand hygiene + Practice of maximal Barer precaution during central tine insertion + Useof closest (2%) fr skin antsepss Dally review of central ine with prompt removal of unnecessary lines.

    You might also like