Central venous line placement

In most cases, a central venous catheter (CVC) is inserted into veins draining into the superior vena cava. CVC is inserted by a physician, and follow-up care is performed by a qualified nurse. The care of a CVC must be professional, all procedures must be duly documented and thoroughly monitored.

Educational objects and publications

TitleAuthor
ico Preparation before insertion (created: 27. 3. 2008, last modified on: 7. 4. 2015)

A thorough preparation and spreading of tools employed for central line placement on a sterile table. The physician performing the cannulation is dressed in a sterile gown, sterile gloves, a surgical mask and a surgical cap.

3.96 MB
ico Disinfection and draping of the operative field (created: 27. 3. 2008, last modified on: 7. 4. 2015)

Disinfecting the operative field several times before draping it with a sterile drape.

5.62 MB
ico Local anaesthesia (1st part) (created: 27. 3. 2008, last modified on: 7. 4. 2015)

Drawing 1% mesocain into a syringe.

2.52 MB
ico Local anaesthesia (2nd part) (created: 27. 3. 2008, last modified on: 7. 4. 2015)

Infiltrating the skin and subcutaneous tissue with a generous amount of 1% mesocain.

1.56 MB
ico Detection of the subclavian vein (created: 27. 3. 2008, last modified on: 7. 4. 2015)

Detection of the subclavian vein under constant aspiration.

802.96 KB
ico Employing the Seldinger technique to insert the catheter (created: 27. 3. 2008, last modified on: 7. 4. 2015)

Inserting the metal guidewire through a needle, removing the needle, dilating the skin and subcutaneous tissue using the plastic dilator, removing the dilator and inserting a three-way cannula into the bloodstream. Removing the guidewire.

5.8 MB
ico Single-stitch fixation of the cannula (created: 27. 3. 2008, last modified on: 7. 4. 2015)

Fixation of the cannula with a stitch is essential to prevent unwanted extraction and dislocation. This procedure is followed by a sterile dressing of the whole area.

2.29 MB

inserted: 31. 1. 2013 | last modified on: 16. 5. 2018

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