- 1 What does putting in a central line mean?
- 2 When is central line used?
- 3 What are examples of central lines?
- 4 Why would a patient require a central line?
- 5 What are the risks of a central line?
- 6 How many types of central lines are there?
- 7 Can a nurse place a central line?
- 8 Who can place central lines?
- 9 Why put an IV in the neck?
- 10 Is a UVC considered a central line?
- 11 Is a Portacath a central line?
- 12 What’s the difference between a central line and a PICC line?
- 13 What is the most common immediate complication of central line insertion?
- 14 How often do central lines need to be changed?
- 15 What are the indications for a central venous line?
What does putting in a central line mean?
A central venous catheter, also known as a central line, is a tube that doctors place in a large vein in the neck, chest, groin, or arm to give fluids, blood, or medications or to do medical tests quickly.
When is central line used?
Central lines are used to administer medication or fluids that are unable to be taken by mouth or would harm a smaller peripheral vein, obtain blood tests (specifically the “central venous oxygen saturation”), administer fluid or blood products for large volume resuscitation, and measure central venous pressure.
What are examples of central lines?
Types of central lines include:
- Peripherally inserted central catheter (PICC). This line is placed in a large vein in the upper arm, or near the bend of the elbow.
- Subclavian line. This line is placed into the vein that runs behind the collarbone.
- Internal jugular line.
- Femoral line.
Why would a patient require a central line?
Doctors might use a central line instead of a regular IV line because: It can stay in place longer (up to a year or even more). It makes it easier to draw blood. Patients can get large amounts of fluids or medicines (like chemotherapy) that might not go through regular IVs.
What are the risks of a central line?
A variety of complications are associated with central venous catheters, including those associated with catheter insertion and immediate access-related issues, as well as longer-term (>1 week) complications such as catheter malfunction, central vein stenosis or thrombosis, and catheter-related infection.
How many types of central lines are there?
Three common types of CVC are a tunnelled central venous catheter, a peripherally inserted central catheter (PICC) and a subcutaneous (implanted) port. Your doctor will recommend the type of CVC you should have based on your situation and how long the CVC may be needed.
Can a nurse place a central line?
Insertion of central lines by RNs/APRNs is permitted by documented evidence-based institutional policy, procedures, and protocols. 2. the RN or APRN in the site selection and insertion of central lines.
Who can place central lines?
A central line placement is performed in an X-ray room by a radiologist and specially trained nurses and technologists. The radiologist will place a small tube in the vein under your shoulder bone and anchor it by making a small tunnel under your skin.
Why put an IV in the neck?
Purpose of a Central Line If a patient needs fluid resuscitation, meaning large amounts of intravenous fluids need to be given, a central line may be placed to allow fluid to flow faster. Central lines can be used to draw blood as well.
Is a UVC considered a central line?
Note: PICC = peripheral inserted central catheter, UVC = umbilical venous catheter, CVC = central venous catheter. CLABSI = central lines associated bloodstream infection.
Is a Portacath a central line?
A port is a catheter that’s implanted surgically under the skin on the chest. It’s another type of central line.
What’s the difference between a central line and a PICC line?
What Are PICC Lines? A peripherally inserted central catheter (PICC line) is a type of central line. A central line (also called a central venous catheter) is like an intravenous (IV) line. But it is much longer than a regular IV and goes all the way up to a vein near the heart or just inside the heart.
What is the most common immediate complication of central line insertion?
Immediate risks of peripherally inserted catheters include injury to local structures, phlebitis at insertion site, air embolism, hematoma, arrhythmia, and catheter malposition. Late complications include infection, thrombosis, and catheter malposition.
How often do central lines need to be changed?
Dressing changes for central lines should occur every 5 to 7 days with a transparent dressing or every two days with a gauze dressing.  However, if the dressing has a break in the seal or becomes visibly soiled, it should be changed.
What are the indications for a central venous line?
Some indications for central venous line placement include fluid resuscitation, blood transfusion, drug infusion, central venous pressure monitoring, pulmonary artery catheterization, emergency venous access for patients in which peripheral access cannot be obtained, and transvenous pacing wire placement.