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Central Venous Access

  • Gregor M. WalkerEmail author
  • Constantinos A. Hajivassiliou
Chapter

Abstract

Approximately 200,000 central venous lines (CVLs) are inserted in the UK annually and a significant proportion are indwelling lines inserted for the administration of chemotherapy or to serve the other needs of patients with oncological problems.

The advances in cancer care have been paralleled by similar advances in central line design and construction.

The evolution of materials used to construct these catheters has also been revolutionized by the replacement of thrombogenic, relatively noncompliant, and variably antigenic rubber, nylon, polyvinyl, or polyurethane catheters with those made of silicone, associated with a concomitant decrease in the complication rate and duration of indwelling catheter time.

Multiple lumen catheters have been designed for use in patients requiring long-term simultaneous administration of two or more parenteral solutions, e.g., chemotherapy, antibiotics, antifungal agents, and parenteral nutrition. Since the introduction of intravenous therapy teams, there have been dramatic improvements in catheter and catheter site care, bringing about a reduction in complications

Keywords

Central Venous Access Central Lines Chemotherapeutic Agents Resuscitation Intravenous Alimentation Blood Sampling Antibiotics Blood Transfusion Blood Products Hemodialysis Intravenous Access Catheterization Subclavian Vein Femoral Vein Jugular Vein Implantable Devices 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Gregor M. Walker
    • 1
    Email author
  • Constantinos A. Hajivassiliou
    • 2
  1. 1.Department of Paediatric SurgeryRoyal Hospital for ChildrenGlasgowUK
  2. 2.Paediatrics/Neonatal SurgeryRoyal Hospital for Sick Children and University of GlasgowGlasgowUK

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