The most nerve-racking step of central line placement for the inexperienced practitioner is accessing the vein. My preferred way to safely access the vein for central line placement is to use the Modified Seldinger Technique. In some studies for ultrasound-guided internal jugular vein catheterization, the modified Seldinger techniqueshowed superiority over the Seldinger technique in terms… Continue reading Central Line Placement: The Seldinger Technique
Tag: Central Lines
7 Different Types of Central Venous Catheters
If you want to know what type of central venous catheter your patient needs, this is the place to start. The first step of central venous catheter placement is confirming the patient actually needs a central venous catheter and consents to the procedure. Once you know that your patient needs a central line, the question… Continue reading 7 Different Types of Central Venous Catheters
Why you dry thread your IVs and angiocatheters
If you have ever tried to place an IV or use an angiocatheter to access the vein for a central line, you familiar with the experience of a “dry thread.” A “dry thread” is the experience of getting a flash confirming that you are in the vein, but the catheter is placed What is a… Continue reading Why you dry thread your IVs and angiocatheters
Central Line Placement: The Steel Needle vs Angiocatheter Debates
Central line placement is as standardized of a procedure as you can find in healthcare. No matter the city or hospital, the steps are exactly the same without much debate except for the great divide; using a steel needle vs angiocatheter to access the vein. If you are getting into a debate, it is important… Continue reading Central Line Placement: The Steel Needle vs Angiocatheter Debates
Central Line Placement: Ultrasound Vs Manometry
Central line placement is a very safe procedure in experienced hands. However, each year a new group of medical trainees arrives and needs to be quickly educated about how to perform safe central line placement. If you are a trainee looking to learn safe central line placement, there are two key techniques for safe central… Continue reading Central Line Placement: Ultrasound Vs Manometry
Safe Central Line Placement – Every Time
If you have received any education on healthcare quality and safety recently, you have likely heard the phrase: high reliability. High reliability is one of my goals as I work to make our hospitals safer. A key part of high reliability at any hospital is having a safe central line placement. Every single time and… Continue reading Safe Central Line Placement – Every Time
Central Line Safety Programs
For just about all medical students and interns, the first procedure that you will perform that can legitimately cause harm or death to a patient is a central line placement. As a patient safety leader, setting up a robust central line safety program can reduce these risks for our patients. If you are looking to… Continue reading Central Line Safety Programs