RT Book, Section
A1 McConville, John F.
A1 Munger, Natalie K.
A2 Schmidt, Gregory A.
A2 Kress, John P.
A2 Douglas, Ivor S.
SR Print(0)
ID 1201800119
T1 Intravascular Devices in the ICU
T2 Hall, Schmidt and Wood’s Principles of Critical Care, 5<sup>th</sup> Edition
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264264353
LK accesssurgery.mhmedical.com/content.aspx?aid=1201800119
RD 2025/07/16
AB he  subclavian  and  internal  jugular  approaches  are  preferred  for  the  placement  of  central  venous  catheters  (CVCs).Real-time  two-dimensional  ultrasound  reduces  the  mechanical  complications  associated  with  CVC  insertion.A  bundled  approach  including  education  on  CVC  insertion  and  maintenance,  use  of  maximal  sterile  barriers,  and  chlorhexidine-based  skin  antiseptic  solutions  reduces  the  incidence  of  catheter-related  bloodstream  infections.Almost  50%  of  hospital-acquired  bloodstream  infections  are  caused  by  staphylococcal  species.CVCs  should  not  be  replaced  nor  exchanged  over  a  guidewire  on  a  routine  basis.