TY - CHAP M1 - Book, Section TI - Intravascular Devices in the ICU A1 - McConville, John F. A1 - Patel, Bhakti K. A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Kress, John P. PY - 2015 T2 - Principles of Critical Care, 4e AB - The subclavian approach is preferred for placement of central venous catheters (CVCs).Real-time ultrasound may reduce the mechanical complications associated with CVC insertion.Chlorhexidine-based skin antiseptic solutions reduce the incidence of catheter-related bloodstream infections as compared to povidone-iodine.Almost 50% of hospital-acquired bloodstream infections are caused by staphylococcal species.CVCs should not be replaced nor exchanged over a guide wire on a routine basis. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1126247143 ER -