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Central Line Placement

  • Marc D. Trust
  • Pedro G. R. Teixeira
Chapter

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.

Keywords

Central line Central venous catheter Internal jugular vein Subclavian vein Femoral vein Complications Pneumothorax 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery and Perioperative CareUniversity of Texas at Austin, Dell Medical SchoolAustinUSA

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