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Principles of Critical Care, 3e
Part II. General Management of the Patient
Chapter 12. Intravascular Devices
John F. McConville, John P. Kress
catheterization, central venous; catheters, intravascular, guiding; central venous catheter; central venous line insertion.
Central venous catheters (CVCs) have become an integral part of delivering care in the modern ICU. In fact, the Centers for Disease Control and Prevention (CDC) estimates that in U.S. ICUs there are 15 million CVC days per year (total number of days patients are exposed to CVCs).
Indications for placement of CVCs include invasive hemodynamic monitoring, administration of vasoactive drugs, administration of caustic agents (e.g., chemotherapy), administration of parental nutrition, renal replacement therapy, large-bore venous access for rapid administration of fluids, and long-term venous access. This chapter focuses on the use of CVCs in the ICU setting. Thus long-term tunneled catheters used for hemodialysis and peripherally inserted central catheters (PICCs) will not be discussed...."
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