Central Venous Line Insertion

Author(s):  
Robert Singer ◽  
Peter Morone ◽  
Michael Dewan ◽  
Scott Zuckerman ◽  
Brandon Root
Author(s):  
Robert Singer ◽  
◽  
Peter Joseph Morone ◽  
Michael Dewan ◽  
Scott Zuckerman ◽  
...  

2000 ◽  
Vol 8 (4) ◽  
pp. 372-374 ◽  
Author(s):  
Ehud Deviri ◽  
Oleg Avrutis ◽  
Shalom Friedman ◽  
Jack Meshoulam ◽  
Ohn Sibirsky ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Bashar Alzghoul ◽  
Ayoub Innabi ◽  
Aditya Chada ◽  
Ahmad R. Tarawneh ◽  
Krishna Kakkera ◽  
...  

Central venous line malposition is a well-known complication of line insertion. Rarely, it can be mal-positioned in an anomalous pulmonary vein. We present an unusual case of a 56-year-old woman that was found to have partial anomalous pulmonary venous return on central venous line insertion. In this report, we describe a systematic approach to diagnosis and management of this unusual situation.


2002 ◽  
Vol 30 (3) ◽  
pp. 338-340 ◽  
Author(s):  
H. Kocent ◽  
C. Corke ◽  
A. Alajeel ◽  
S. Graves

Glove contamination at the time a central venous catheter is handled is highly undesirable and likely to increase the risk of subsequent line infection. This study was designed to determine how frequently gloves become contaminated during central venous line insertion and to demonstrate the value of glove decontamination immediately prior to handling of the central venous catheter. During twenty routine internal jugular catheter insertions the sterility of the operator's gloved fingertips (just prior to handling the intravenous catheter) was assessed by touching the fingertips onto blood agar plates. The gloved hands were then rinsed in chlorhexidine/alcohol and after drying were placed onto a further plate. Contamination was detected in 55% of the prewash plates but in none of the postwash plates. Procedures performed by less experienced resident staff had a higher contamination rate despite there being no evident breach of sterile technique. It is likely that glove contamination results from the persistance of bacteria within the deeper layers of the skin, despite surface disinfection. These bacteria may be released by manipulation of the skin when identifying landmarks. This hypothesis was supported by a subsequent observation that gloves were more highly contaminated after firm touching of the skin rather than light touching. Glove contamination during central line insertion is frequent. Catheter contamination rates could be reduced (without risk or additional cost) by rinsing gloved hands in a solution of chlorhexidine (0.5%) in alcohol (70%) prior to handling the catheter.


2013 ◽  
Vol 4 (12) ◽  
pp. 686 ◽  
Author(s):  
Victor Kong ◽  
Leah Naidoo ◽  
Damon Jeetoo ◽  
George Oosthuizen ◽  
Grant Laing ◽  
...  

2002 ◽  
Vol 25 (3) ◽  
pp. 247-250 ◽  
Author(s):  
Edward W.H. To ◽  
Peter C.W. Pang ◽  
W.M. Tsang ◽  
Michael D. Williams ◽  
Jack H.H. Cheng ◽  
...  

1978 ◽  
Vol 26 (6) ◽  
pp. 591 ◽  
Author(s):  
J.R.W. Keates ◽  
A.M. Macarthur

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