Question 1

complications with central line placement?

Accepted Answer

Chances are small...: The risks are low but can be serious; when it's recommended that a central line be placed, it's felt that the benefits outweigh the risks...Things we worry about at the time of central line placement are: collapsed lung (pneumothorax), infection, arterial placement, bleeding/hematoma, abnormal heart rhythm, air embolus. Later on, infection & DVT are the main concerns.

Question 2

what does it mean if the md does "central line placement procedure"?

Accepted Answer

Into the large vesse: Central line placement is a procedure that places a catheter into the large vessels near the heart generally for the purpose of providing fluids.  The catheter is usually placed under the collar bone or neck. This is different from a IV placed in your forearm or hand.  It allows one to give larger volumes of fluids or fluids in concentrations that might severely irritate smaller peripheral vessels.

Question 3

can surgery for gsstric bypass, peg tube placement or central line damage the phrenic nerve?

Accepted Answer

HIGHLY UNlikely: The phrenic nerve is from above the diaphragm and the procedures your mentioned are all below this level...

Question 4

how is a central line used in emergency resuscitation?

Accepted Answer

Central lines: During an emergency resuscitation, it is necessary to rapidly administer fluids as well as medications intravenously. This is easier to do via the larger caliber "central" veins rather than the peripheral veins. Therefore, a central line is often quickly established in the subclavian vein, internal jugular vein, or femoral vein. These can also be useful for drawing venous blood for urgent  labwork.

Question 5

why should norepinephrine be given only by central line?

Accepted Answer

To avoid necrosis: of the skin and subcutaneous tissues in the event of accidental extravasation, i.e. injection of medicine outside of the vein due to very potent vasoconstrictive effect of the drug that can lead to a prolonged spasm of the blood vessels.

Question 6

what is a central venous catheter?

Accepted Answer

Intravenous access: Where the small catheter stops in a big vein in the center of your chest. This vein is the superior vena cava.

Question 7

risk factors for central line-associated bloodstream infections in the era of best practice.?

Accepted Answer

# of times used: Central lines, like any catheter, should be protected from unnecessary manipulation. We know that the more frequently the catheter is manipulated or "accessed", the more likely an infection will occur in the blood stream. Other causes include obvious breaks in technique and failure to use sterile technique with dressing changes.

Question 8

is there benefit for calculating iv fluids via a central venous catheter?

Accepted Answer

Of course: Iv fluids are a precise form of treatment. Every dose of treatment has to have a rational reason. Medicine is scientific.

Question 9

central venous catheter infections common?

Accepted Answer

No but...: Central venous catheter infections have become much less frequent than in the past. The current rates are low but may depend on the type of population involved.

Question 10

how do the doctors insert a central venous catheter?

Accepted Answer

Thru a vein: Then it is directed to  higher up in the venous circulation.

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Doctor answers about:

Central line placement

A member asked:

Complications with central line placement?

A member asked:

What does it mean if the md does "central line placement procedure"?

A member asked:

Can surgery for gsstric bypass, peg tube placement or central line damage the phrenic nerve?

A member asked:

How is a central line used in emergency resuscitation?

A member asked:

Why should norepinephrine be given only by central line?

A member asked:

What is a central venous catheter?

A member asked:

Risk factors for central line-associated bloodstream infections in the era of best practice.?

A member asked:

Is there benefit for calculating iv fluids via a central venous catheter?

A member asked:

Central venous catheter infections common?

A member asked:

How do the doctors insert a central venous catheter?

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