Clinical Case Database / Category: Practical Procedure

Central venous catheter insertion

Publication details

Jon Griffin MBChB (Hons), Jill Bem FRCA
Foundation Years Journal, volume 5, issue 1, p.57 (123Doc Education, London, February 2011)

Abstract

Central venous catheter (CVC) placement is a useful adjunct in the monitoring and management of acutely unwell patients and those with poor venous access. This article reviews the indications for placement of a CVC, the technique for placement, possible complications and post procedure management.

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Authors

Jon Griffin MBChB (Hons)

Vascular Surgery Junior Registrar
Christchurch Public Hospital
Riccarton Avenue
jonlukegriffin@gmail.com

Jill Bem FRCA

Consultant Anaesthetist
St James University Hospital
Leeds

References

1. Seldinger SI. “Catheter replacement of the needle in percutaneous arteriography; a new technique”. Acta radiologica 195339 (5): 368–76.
2. Heffner A.C. Placement of central venous catheters. UpToDate.com
3. Ruesch, S, Walder, B, Tramer, MR. Complications of central venous catheters: internal jugular versus subclavian access--a systematic review. Crit Care Med 2002; 30:454.
4. Lobato, EB, Florete, OG Jr, Paige, GB, Morey, TE. Cross-sectional area and intravascular pressure of the right internal jugular veinduring anesthesia: effects of Trendelenburg position, positive intrathoracic pressure, and hepatic compression. J Clin Anesth 1998; 10:1.
5. Sulek, CA, Blas, ML, Lobato, EB. A randomized study of left versus right internal jugular vein cannulation in adults. J Clin Anesth 2000; 12:142.
6. Stuart, RK, Shikora, SA, Akerman, P, et al. Incidence of arrhythmia with central venous catheter insertion and exchange. JPEN J Parenter Enteral Nutr 1990; 14:152.

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Conflict Of Interest

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Patient Consent statement

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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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