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This is an old revision of this page, as edited by Emwhitaker (talk | contribs) at 15:43, 12 November 2015 (Suggested sources). The present address (URL) is a permanent link to this revision, which may differ significantly from the current revision.

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This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): VeronicaNicole88 (article contribs). Peer reviewers: Bangabullet90.

Potential sources

Hi Veronica,

Whit Emwhitaker (talk) 15:43, 12 November 2015 (UTC)[reply]

Student Edits

Hi All! I will be editing the "Central venous catheter" page for medical accuracy and understandability. My focus will be in the following areas:

Distractors:

  • The 13 Elements of Performance (EPs) to decrease CLABSI- not completely filled in and don’t think necessary
  • Information on quatitative blood cultures-what are they? Why was it mentioned?
  • Implanting ports: “Huber” needles-? Needed?

Inaccurate Citations:

  • 1:doesn’t work (where a lot of the citation/medical use is from)
  • 2:doesn’t give a direct link and is from 2002
  • 4: doesn’t make sense
  • 5: doesn’t work

Out of Date Information:

  • Re-ordering of medical uses to comply with why central lines are placed the majority of the time (right now CVP is #1, but not placed for monitoring CVP very often now)
  • Information from 2002

Three Potential Sources:

  • Smith Reston N, Nolan Jerry P. Central venous catheters 2013; 347 :f6570
  • Fosh, B., Canepa, M., Eaton, M., Long-term venous access insertion: ‘the learning curve.’ ANZ J Surg. 2015 Oct 29. doi: 10.1111/ans.13338. [Epub ahead of print]

VeronicaNicole88 (talk) 00:02, 5 November 2015 (UTC)VeroniceNicole88[reply]


Haemodialysis

I work in the Renal ward of my local hospital and thought I should point out we use Internal Jugular and Femoral lines as temporary access, along with Tunnel Neck Lines (Sub-clavian) as a more permanent solution. This is usually until a fistula can be created as this has a lower risk of infection. Perhaps someone with more medical knowledge (i'm just a Health Care Assistant) could add to the page ?

Cheers —The preceding unsigned comment was added by 82.39.202.88 (talk) 22:05, 11 January 2007 (UTC).[reply]

Chlorhexidine

It's been known for some time that chlorhexidine is better than povidone-iodine tincture for cleaning. It now turns out that it can prevent 50% of all catheter colonisations - http://archinte.ama-assn.org/cgi/content/abstract/167/19/2066?etoc ; we will need to mention this or some other study soon. JFW | T@lk 05:48, 26 October 2007 (UTC)[reply]

I've just added this to the text, under "Infection:Treatment". Please check if I have formatted the reference correctly. Thanks. --Kyoko 07:24, 26 October 2007 (UTC)[reply]

NICE guideline

In the UK, people commonly refer to the NICE "guideline" on the use of ultrasound. The reference is:

  • National Institute for Clinical Excellence. Guidance on the use of ultrasound locating devices for placing central venous catheters. NICE Technical report number 49. September 2002.

This should probably be mentioned, although the evidence is present only in potentially difficult lines. JFW | T@lk 09:16, 5 March 2008 (UTC)[reply]

Ultrasound

Once again, in an emergency medicine setting only a single good study shows that ultrasound reduces complications doi:10.1136/emermed-2012-201230 JFW | T@lk 14:59, 12 April 2013 (UTC)[reply]

is THIS CVC?

https://www.youtube.com/watch?v=vr4uTinST2E&list=PL1spZk8R2sxGqvkNG6WVC1oERAogXqv2D&index=5

fought a clip demonstration is this the CVC surgery? — Preceding unsigned comment added by 36.225.100.147 (talk) 15:32, 29 October 2015 (UTC)[reply]

CVC & CVP compare

CVC: central venous catheter
CVP: central venous pressure

So need to insert CVC before CVP can be measured  — Preceding unsigned comment added by Composcompos12 (talkcontribs) 11:34, 8 November 2015 (UTC)[reply]