Central Line Anatomy
Mechanical complications most often occur during insertion and are intimately related to the anatomic relationship of the central veins. A central venous catheter also known as a central line central venous line or central venous access catheter is a catheter placed into a large vein.
Central Venous Lines And Their Problems
Confirm what the line will be used for and how many infusions a patient has to aid your selection of the line with the correct amount of lumens.
Central line anatomy. Central lines can have multiple lumens. The right or left internal jugular vein ijv or the right or left subclavian vein scv. Chapter 40 central line anatomy mark a.
A long catheter may be advanced into the central circulation from the antecubital veins as well. Catheters can be placed in veins in the neck chest groin or through veins in the arms. Central venous catheter cvc is a cannula placed in a central vein eg.
Malangoni introduction understanding the anatomic relationships of the large veins used for placement of central catheters is key to successful cannulation and avoidance of complications. Subclavian internal jugular or femoral. Positioning of cvc in relation to the carina x ray appearances.
Svc anatomy on chest x ray. Internal jugular catheter versus subclavian catheter x ray appearances. The internal jugular subclavian and femoral veins can be accessed for fluid infusion blood sampling hemodialysis cardiac pacemaker placement and measurement of.
It is used to administer medication or fluids that are unable to be taken by mouth or would harm a smaller peripheral vein obtain blood tests and measure central venous pressure. Alternatives include the external jugular and femoral veins. Central venous cannulation is a commonly performed procedure which facilitates resuscitation nutritional support and long term vascular access.
Most commonly 34 and 5 lumen lines are inserted. Anatomy of central venous catheter cvc insertion as seen on x ray. Central venous line placement is typically performed at four sites in the body.
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