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Medical Video: Jugular Central Venous Catheterization Step by step
Definition
What is CVC?
A hose is used to give fluids or medicines without the need for repeated injections. It is placed in a blood vessel near the heart and part of this hose is located outside your body.
When do I need a CVC procedure?
This hose is usually recommended if you need regular treatment such as antibiotics, chemotherapy, or blood transfusions for several weeks or months. This hose is a tunnel to reduce the risk of infection.
Prevention & warning
What should I know before doing a CVC procedure?
This hose may not be suitable if you have a blood clotting problem. Tell your doctor or nurse if you use blood-thinning drugs such as aspirin, warfarin or heparin.
What are the alternatives to CVC?
What can be used if you don't want or can't use a hose is with a port implant, which is a small and smooth plastic tube that is inserted into a vein in the chest or arm and has a hole just below your skin.
The alternative types or choices available to you will depend on your medical needs. Ask your doctor for advice.
Process
What should I do before doing this procedure?
A specialist doctor or nurse will install a hose for you. You may have been hospitalized for this procedure. If not, hospital staff will notify where and when you have to come to do the procedure.
You can help yourself by preparing questions about the risks, benefits, and alternative procedures. This will help you get enough information so you can give your doctor permission to carry out this procedure, which is usually done by signing the consent form.
What is the process of this procedure?
This procedure usually takes one hour.
A small incision is made on the skin just below the collarbone and the end of the hose will be inserted into a large vein. Ultrasound can be used to help show the hose in your veins. This hose then enters the tunnel in your skin to reach the exit, where a portion of this hose will come out of your body.
Stitches or clips are used to hold the hose in place until the skin heals. A small wedge on the hose just below your skin also helps to keep it in position. The incision under your collarbone is covered with stitches.
You usually need a chest x-ray to make sure the hose is in the right position.
What should I do after this procedure is complete?
After local anesthesia, it may take several hours before you can feel again. Be careful not to hit or press the hose because it can slide it out of position and / or damage the exit. If you do not pull the hose hard, contact the hospital to check its position.
If you don't stay in the hospital for further treatment, you will usually be allowed to go home when you feel ready. Before going home, your nurse will give you advice on how to treat your hose, about maintaining cleanliness, and how to take a shower. You will usually be given a schedule for further check-ups.
You will usually need to go back to the hospital regularly for treatment. During this visit, your doctor or nurse will carefully check your hose. Your nurse will usually give you a contact number if you need advice between visits.
Revoke CVC
Stitches under the collarbone are removed after 7-10 days. Seams in the exit line are taken after your skin has completely recovered, usually around 3 weeks. You no longer need a bandage, but you must keep the upper part of the channel located outside the body and secure it with a cover to prevent it from being moved because it was accidentally caught or attracted
Complications
What complications can occur?
Just like every procedure, there are several risks associated with a hose that is not suitable. This does not include the risk of specific and different things happening to everyone. Ask your surgeon to explain how the risk is to you.
Complications are when problems occur during or after the procedure. Most people do not experience complications. Possible complications if you have a CVC hose in your body are:
- infection - can occur inside the catheter, at the exit, or at the heart valve (endocarditis). Antibiotics can help deal with infections but sometimes the hose needs to be removed
- blockage - a blood clot can form at the end of a tube that enters a vein, or the position of the hose can change and cause a blockage. If this happens, the channel may need to be revoked
- there is air in the hose - you should always close the hose if you are not using it.
- channel failure - any damage to the hose, or a change in position can cause the hose to fail. If this happens, the hose needs to be replaced as soon as possible.
Hello Health Group does not provide medical advice, diagnosis or treatment.
