CENTRAL VENOUS ACCESS

INSERTION OF CENTRAL VENOUS INFUSION CATHETER

Insertion of intravenous catheter through the subclavian
Vein.
The patient is placed on his back in a 15 degree head-down
position with a small pad placed bwtween the shoulder blades to
allow the shoulders to drop posteriorly.
- The skin is scrubbed with ether or acetone to clean the surface
and then with an iodophor compound.
- Drapes are used and scrupulous aseptic precautions are observed.
- Local anaesthetic is infiltrated.
- A 2" long, 14-gauge needle attached to a small syringe is
inserted.
- With slight negative pressure applied to the syringe, entry
into the vein is confirmed by the appearance of blood.
- A 16-gauge, 8 or 12 in radioopaque catheter is then introduced
through the needle and threaded into the superior vena cava.
- The catheter is connected to a sterile intravenous
administration tubing and a slow infusion is started while the
catheter is sewn to the skin With a small synthetic suture.
This catheter can be used for parenteral feeding.
This method of intravenous vein access is also required in cases
of SHOCK for quick and effective delivery of fluids and blood to
treat shock.
Any questions be sent to drmmkapur@gmail.com
All earlier posts are stored in archives for access and review
Visitors that follow the site may post contributions to the site.
Click on the image to see detail