What is the purpose of a central venous line?

Central lines are used to administer medication or fluids that are unable to be taken by mouth or would harm a smaller peripheral vein, obtain blood tests (specifically the “central venous oxygen saturation”), administer fluid or blood products for large volume resuscitation, and measure central venous pressure.

Why use a central line instead of a peripheral line?

A central line is longer, with a larger tube, and is placed in a large (central) vein in the neck, upper chest or groin. This type of catheter has special benefits in that it can deliver fluids into a larger vein, and that it can stay in the body for a longer period of time than a usual, shorter IV.

What is the difference between a PICC line and a central venous line?

A PICC line is a longer catheter that’s also placed in the upper arm. Its tip ends in the largest vein of the body, which is why it’s considered a central line. PICC stands for “peripherally inserted central-line catheter.” A CVC is identical to a PICC line, except it’s placed in the chest or neck.

Can you transfuse blood through a central line?

Blood components can be transfused through most peripheral or central venous catheters, although the flow rate is reduced by narrow lumen catheters and long peripherally inserted central catheters (PICC lines).

What is the difference between a central line and an arterial line?

Arterial lines are different from central lines in several ways. The most obvious difference is that the cannulation is of an artery instead of a vein. As with central line insertion, there are clear indications for the insertion of arterial lines.

Why would you need a PICC line?

A PICC line gives your doctor access to the large central veins near the heart. It’s generally used to give medications or liquid nutrition. A PICC line can help avoid the pain of frequent needle sticks and reduce the risk of irritation to the smaller veins in your arms.

Which is better a PICC line or a port?

The advantage of having a port over having a PICC or peripheral IV is that it is a long-term device. A port lasts for many years and may be used repeatedly. When IV access is not needed it stays in place and there is less maintenance. The port does not interfere with your daily activities.

Why do they put an IV in your neck?

The catheter is guided through the veins until it is positioned in the large vein (superior vena cava) leading to the heart, where blood flow is fast. This placement allows for better mixing of medicines and IV fluids. The rest of the CVL is tunneled under the skin, from the neck to the chest area.

Does a central line go in a vein or artery?

A central line is a narrow, flexible, hollow tube inserted into a large vein in the neck, upper chest or groin.

What is the most common immediate complication of central line insertion?

Arterial puncture, hematoma, and pneumothorax are the most common mechanical complications during the insertion of central venous catheters (Table 2). Overall, internal jugular catheterization and subclavian venous catheterization carry similar risks of mechanical complications.

What are the risks of a central line?

Immediate risks of peripherally inserted catheters include injury to local structures, phlebitis at insertion site, air embolism, hematoma, arrhythmia, and catheter malposition. Late complications include infection, thrombosis, and catheter malposition.

Can a central line cause a stroke?

Paradoxical embolism may occur following the insertion, presence, or removal of the CVC and may lead to lower-limb ischemia, coronary artery occlusion, stroke, or a combination of these conditions.

What will happen when CVP line goes to lungs?

During the CVC insertion procedure, a number of lung-related complications can occur, including: Fluid can build-up of between the lining of your lungs and your chest cavity. Injury can occur to your windpipe, or trachea. Injury can occur to the laryngeal nerve, which controls your voice box.