Herikurniawan

Respirology and Critical Illness Division, Internal Medicine Department

Faculty of Medicine Indonesia University, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia

 ABSTRACT

Central venous catheters (CVCs) are essential for the management of some critically ill patients  and those with limited vascular access to provide interventions and monitoring. The procedure        is catheher was inserted into a venous great vessel that traditionally located in the subclavian     vein, internal jugular vein, or femoral vein. Central venous access has several clinical indications, contraindications and complications that must be considered. Most central lines are placed today  via the Seldinger technique, in which the chosen vein is cannulated with a needle, a guide wire       is inserted to maintain a tract through the skin into the vein, and the catheter is then inserted over  the wire into the vein before the wire is removed. This procedure is generally performed with ultrasound guidance to improve the safety of this procedure. Full sterile technique must be used to decrease catheter-related infections.

Keywords: central venous catheter, criticall ill patients, vascular access, venous great vessel