Inserting a CVC line
24 March 2022
Author: Dr Jadumani Singh
Disclaimer: The information contained does not serve as a standard of medical care, this is from the author's personal clinical experience.
Sites and types
Internal jugular (IJV)
Left and right Subclavian (SCV)
Femoral vein (FV)
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Central venous cannulation - any of the above sites
Pulmonary artery catheterisation - Internal Jugular(IJ) and Subclavian veins (SCV)- Preferably the right IJ or the left SCV veins because of their anatomical position and accessible routes to the right ventricle and pulmonary artery.
Vascath or dialysis catheter (usually 2 lumens) - they are primarily bored, preferable sites are the IJ or the femoral veins. Senior intensivists or trainees mostly use subclavian cannulation with expertise.
Temporary pacemaker insertion - most commonly the internal jugular on the right, but both IJ and subclavian are used. The left subclavian is usually left untouched in ICU for a permanent pacemaker if required.
Before Starting
Trolley set up
Preparation
During procedure
Complications
Audit tool
