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Central Line Placement

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Surgical Critical Care Therapy

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Abstract

Establishing intravenous access is an essential and early step in most acute care situations. Cannulation of peripheral veins with short- and large-bore catheters is the initial choice as it provides quick access for initial resuscitation allowing rapid infusion of fluids and medications. Patients admitted to the intensive care unit, however, frequently require central venous access. Central venous catheters (CVCs) not only provide a route to administer a wide variety of medications necessary for the critically ill patient but can also be used to obtain hemodynamic and physiologic information at the bedside that aids in treatment decision making. In this chapter, we will discuss appropriate catheter site selection, review the pertinent anatomy and technique for insertion of CVCs, and discuss the potential complications and their management.

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Author information

Authors and Affiliations

  1. Department of Surgery and Perioperative Care, University of Texas at Austin, Dell Medical School, Austin, TX, USA

    Marc D. Trust & Pedro G. R. Teixeira

Authors
  1. Marc D. Trust
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  2. Pedro G. R. Teixeira
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Corresponding author

Correspondence to Pedro G. R. Teixeira .

Editor information

Editors and Affiliations

  1. Brigham and Womens’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Ali Salim

  2. Dell Medical School, University of Texas at Austin, Austin, Texas, USA

    Carlos Brown

  3. Division of Trauma Surgery, Rm C5L100, University of Southern California, Los Angeles, California, USA

    Kenji Inaba

  4. Trauma and Emergency Surgery Service, Legacy Emanuel Medical Center, Portland, Oregon, USA

    Matthew J. Martin

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Trust, M.D., Teixeira, P.G.R. (2018). Central Line Placement. In: Salim, A., Brown, C., Inaba, K., Martin, M. (eds) Surgical Critical Care Therapy . Springer, Cham. https://doi.org/10.1007/978-3-319-71712-8_65

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  • DOI: https://doi.org/10.1007/978-3-319-71712-8_65

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71711-1

  • Online ISBN: 978-3-319-71712-8

  • eBook Packages: MedicineMedicine (R0)

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