Very often patients have a medical history or condition in which a PICC line is contraindicated or not as favorable for the patient’s condition. A Peripherally Inserted Central Catheter (PICC) is often ordered for patients needing central venous access because it is the “easiest” line to obtain in today’s health care settings. Basic vascular access teams also cannot insert large bore and dialysis catheters, and this can often cause a delay in patient care. Standard PICC teams are often not able to provide the more advanced options of Internal Jugular, Axillary, or Mid-Thigh Femoral CVADs. Advanced Vascular Access teams are important because they can provide the right type of access at the right time for the patient, avoiding the possibility of multiple procedures and possibly harming the patient with the incorrect CVAD. Central Venous Access Device | CVADĪ Central Venous Access Device, often abbreviated as CVAD, is often ordered based on the patients’ needs both now and in the future. Finally, for critically ill patients needing rapid fluid resuscitation or dialysis, large bore Central Venous Catheters provide a reliable route to accomplish these treatment goals and requirements. Additionally, for some patients where obtaining blood necessary for treatment decisions by the physician is difficult, central lines provide a means to easily obtain blood samples from the patient’s veins. The central line, having its tip located in the larger superior vena cava or inferior vena cava, allows for greater dilution of cytotoxic or chemically harsh solutions. Central Venous Catheter lines provide treatment options for medications that are hazardous for smaller veins, or the patient requires longer-term IV access that would be difficult to maintain with a basic IV or midline. (i.e.Jugular Lines, Femoral Lines, PICC (peripheral) lines). Very often the location on the body where the catheter is placed will be its name. These catheters are commonly placed in the arm, neck, chest, or leg. There are many other names for Central Lines, but all of them have their tips at either the SVC or the IVC. Central Venous Catheters are also called Central Lines and Central Venous Access Devices. Central Venous Catheter is a catheter that ends in a large vein, either the Superior Vena Cava (SVC), which is just above the heart or the Inferior Vena Cava (IVC), which is just below the heart.
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