vascular access devices

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VASCULAR ACCESS DEVICES. VASCULAR ACCESS DEVICES. Introduced in early 1980s Allow medications to be delivered directly into larger veins Less likely to clot Can be left in for longer periods of time. TYPES OF VASCULAR ACCESS. Central Venous Catheters Tunneled CVC’s: Hickman Broviac - PowerPoint PPT Presentation

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PERIPHERALLY INSERTED LINES

VASCULAR ACCESS DEVICES

1VASCULAR ACCESS DEVICESIntroduced in early 1980s

Allow medications to be delivered directly into larger veins

Less likely to clot

Can be left in for longer periods of time

2TYPES OF VASCULAR ACCESSCentral Venous CathetersTunneled CVCs:HickmanBroviacGroshongPercutaneous CVCs:PortsPICC Lines

Fistulas

3TUNNELED CATHETERSSurgically insertedTunnel made through subcutaneous tissue (usually b/t clavicle and nipple)Tip inserted through cephalic, internal or external jugular and threaded into superior vena cavaHeld in place with Dacron cuff under skinPlacement verified through x-rayCan be single, double or triple lumen4Tunneled catheters Placement of Tunneled CathetersTunneled Catheters

5PERCUTANEOUS CATHETERS -PORTSFirst used in oncology patients in 1981; now 100,000 ports implanted yearlySurgically implanted beneath skin, usually in chest regionRight side of chest preferable d/t anatomy (superior vena cava) kangaroo pocket created for portal bodyAccessed by IP, Huber, or other type of needle with deflective, non-coring tip

6PORTSPlacement of portsPort Images

7Reasons for PortsLong term IV therapyFrequent blood transfusions or blood drawsBone marrow transplantProtection of smaller vessels

8PortsAdvantagesDecreased chance of infection port sealed under skinLess interference with ADLs no external componentsLess body image concerns (teens)Long usable life up to 10 years (compared to