A doctor or specialist nurse will do this for you. It is usually done in the outpatient department and takes about 30 minutes. You will not usually need a general anaesthetic. Once you are lying down comfortably, the skin over your chest will be cleaned with antiseptic. The doctor or nurse will then numb the area around the cuff with local anaesthetic. They will make a small cut to release the cuff, then slowly remove the line. You might find this uncomfortable, but it should not be painful.
Once the line is out, your nurse or doctor will put a dressing over the exit site. You will be asked to stay lying down for about 10 minutes until they are sure there is no bleeding. Central lines. On this page. What is a central line? What is a central line used for? A central line can be used to give you treatments such as: chemotherapy blood transfusions antibiotics intravenous IV fluids liquid food if you are not able to eat.
You can go home with the central line in and it can be left in for weeks or months. How is a central line put in? What stops a central line from falling out?
Looking after your central line When the central line is not being used, there is a small risk of it becoming blocked.
Showers, baths and swimming When you are at home, it is safe for you to have a shower or bath with your central line in. Possible problems with a central line Infection It is possible for an infection to develop inside the central line or around the exit site. Contact your hospital doctor or nurse if you have: swelling, redness or pain at the exit site discoloured fluid coming from the exit site a high temperature fever.
Blood clots It is possible for a blood clot thrombosis to form in your vein at the end of the line. Contact your hospital doctor or nurse if you have: swelling, redness or tenderness in the arm, chest area or up into the neck on the same side as the central line shortness of breath tightness in your chest. Blocked central line The inside of the line can sometimes become partly or completely blocked. Air in the central line It is important not to let any air get into your central line.
Break or cut in the central line It is important that the central line is not broken or cut. How the central line is removed When you do not need the central line anymore, it will be taken out.
Print page. How we can help. If you need to talk, we'll listen. There are many different types of catheters and lines utilized by medical professionals to access your blood, whether used for taking blood samples, administering medication or receiving dialysis. A CVC serves as a way to access your blood and helps your medical team deliver medication, blood products, nutrients, or fluids directly into your bloodstream or to draw blood samples. While a PICC is never used for dialysis, it is commonly used to administer medications for patients, such as antibiotics or chemotherapy.
A central venous catheter is a long, flexible, y-shaped tube that is inserted through one of the central veins found in your neck, chest or groin to allow access to the bloodstream. There are two types of central venous catheters: tunneled and non-tunneled.
Non-tunneled catheters are designed to be temporary and may be put into a large vein near your neck, chest, or groin.
During an outpatient procedure, a physician who specializes in vascular access makes a small incision in the skin over the selected vein located in the neck, upper chest, or groin. The physician will numb the area for the insertion and may use x-ray imaging to guide the catheter into its correct location downward toward the chest. These tubes will serve as access to the bloodstream and will be capped off when not in use. Treatment can then be given directly into the bloodstream, or blood samples can be taken.
If you are having a short treatment, the needle will then be removed. For longer treatments, you will have a dressing placed over the needle to hold it in place until your treatment is finished. The needle is then removed. The port will need to be flushed every four to six weeks if it is not being used regularly.
If you feel able to, the nurses at the hospital will teach you how to do this. They can also teach a partner, relative or friend. A district nurse can also do it for you at home. The likelihood of problems with port is low. Most of the problems can be sorted with medication or simple interventions. However, they may require removal and replacement of the port. Infection : It is possible for an infection to develop inside the catheter or around the port.
You should tell your hospital if you have redness, swelling or pain around the port, develop a high temperature fever , feel faint, shivery, breathless or dizzy. If an infection develops, you will be given antibiotics. Blood clots : It is possible for a blood to clot in the vein where the catheter sits.
You should contact your hospital doctor or nurse if you notice any swelling, tenderness or redness in the neck or arm on the same side of the body as the port. If a clot does form, you will be given medication to dissolve it. Your port may have to be removed.
Blocked port : The inside of the catheter can sometimes become partly or completely blocked. If this happens, it can be difficult to give treatment or to take blood tests through it. The catheter may be flushed with a solution to try to clear the blockage, or the port may need to be removed. This is usually a much simpler procedure than insertion. A local anaesthetic is used to numb the area. A small incision is made over the site of the port and the port removed.
The catheter is gently pulled out of the vein. The wound is then stitched and covered with a small dressing. You may feel a bit sore and bruised after your port is removed. It is best to avoid strenuous exercise for a few weeks after insertion, so your body can heal. Only the Huber needles should be used on your port. The Hickman line is put in tunnelled under the skin of your chest and into a nearby vein.
One end of the line goes into a large vein just above your heart. The other end comes out from under the skin on your chest. The line is usually sealed with a special cap or bung. This can be attached to a drip or syringe containing your chemotherapy or medication. Sometimes it divides into two or three lines which allow you to have different treatments and medications at the same time.
Hickman lines are inserted in the X-ray department using ultrasound and x-ray. The line is put in through the vein at the bottom of the neck, or the vein below the collar-bone. You will be asked to lie on your back on the X-ray table. You will be connected to monitoring equipment to check your heart tracing, blood pressure and blood oxygen levels. It is very important to insert Hickman lines under sterile conditions to avoid infection.
Hair on the skin at the entrance or exit sites may be removed. The radiologist will put on a sterile gown, theatre cap and mask, and you may need to wear a theatre cap also. The skin on your chest and neck is cleaned with antiseptic and you will then be covered in sterile towels. A small incision is made at the entrance and exit sites. The tube is then tunnelled under the skin from the exit site to the entrance site. The tip of the line is gently threaded into a large vein, towards the heart.
The position of line is adjusted until it is satisfactory. The line is secured at the exit site with a stitch. Another stitch is used to close the small incision at the entry site. A dressing is placed over these. The Hickman line is flushed to ensure that there is no clotted blood with in it and it is then clamped off.
The line is taped to the chest in a loop. There is a small cuff around the Hickman line. It can be felt under the skin, just above the exit site. The tissue under the skin grows around this cuff in about three weeks and holds the line safely in place. Until this happens, you will have a stitch holding the line in place. This stitch usually stays in place for about three weeks.
When the line is not being used, there is a small risk of it becoming blocked. At home , you need to take care of your PICC to keep it working.
Because a PICC line has a high infection risk, you must take extra care washing your hands and preventing the spread of germs. A central line placement is performed in an X-ray room by a radiologist and specially trained nurses and technologists. The radiologist will place a small tube in the vein under your shoulder bone and anchor it by making a small tunnel under your skin.
This line is placed in a large vein in the upper arm, or near the bend of the elbow. Subclavian line. This line is placed into the vein that runs behind the collarbone. Internal jugular line. Femoral line. An intravenous central line is a kind of intravenous IV line used to give medicines and fluids. It is a thin, soft, plastic tube called a catheter that is inserted through the skin and into a vein.
It is usually put in the neck or chest just below the collarbone. Sometimes it is put in the arm. The bandage must be kept dry until the incision is completely healed. This usually takes 5 to 7 days. You can not take a shower during this time. You can usually take a bath if the port is in your chest, but you have to keep the bandage dry.
Caring for Your Port Keep the port incision covered with a clean and dry bandage. Change the dressing over the sutures every three days or more often if soiled or wet.
Cover your dressing when showering with a heavy duty type baggie taped over the dressing.
0コメント