SCCM Resource Library-Central Venous Catheter Procedural Considerations

Pdf Summary

The resource provides guidelines for clinicians on the considerations and procedures for central venous catheter placement. While it is owned and created by third parties and not endorsed by the Society of Critical Care Medicine, it aims to give access to community-developed resources.<br /><br />Key points include the sizes of central venous catheters for specific procedures:<br />- 6 Fr for transvenous pacing<br />- 7 Fr for standard triple lumen use<br />- 8.5 Fr and 9 Fr for "Cordis" and PAC placement, respectively.<br /><br />Access site preferences and procedural notes include:<br />- Right Internal Jugular (RIJ) and Left Subclavian (L SCV) are noted as anatomically favorable.<br />- Subclavian (SCV) access should be done only with attending supervision.<br />- Femoral access is reserved for emergencies or if other sites are unavailable.<br /><br />Ultrasound imaging tips emphasize distinguishing veins from arteries: veins have thinner walls and are collapsible, while arteries have thicker walls and are pulsatile. It is also suggested to use ultrasound during venous access procedures and to confirm wire location with ultrasound. If there is any doubt, an angiocath can be used to assess pressure.

Asset Subtitle

Cardiovascular, Procedures, 2024, 0:15:00

Asset Caption

A quick reference for central venous catheter placement in the ICU. Including catheter sizes, access site and imaging considerations.

Meta Tag

Content Type Infographic

Knowledge Area Procedures

Membership Level Nonmember

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Catheters

Year 2024

Keywords

central venous catheter

clinicians guidelines

transvenous pacing

triple lumen catheter

Cordis placement

PAC placement

ultrasound imaging

RIJ access

subclavian access

femoral access

Infographic

Procedures

Catheters

2024

Nonmember

Associate

Professional

Select

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