Centrally Inserted Catheter

Centrally Inserted Catheter

  • Inserted into a vein in neck, chest, or groin with tip resting in distal end of superior vena cava
  • Non-tunneled or tunneled
  • Single, double, triple, or quad lumen
  • Examples of long-term (tunneled) catheters
    • Hickman
    • Groshong
  • CVC (Central venous catheters)
    • Two types of central venous catheters (inserted in the internal jugular vein or subclavian vein)
      • Tunneled
        • Placed under the skin and meant to be used for a longer duration of time
      • Non-tunneled
        • Designed to be temporary and may be put into a large vein near your neck, chest, or groin
    • PICC (inserted into a vein in arm)
      • Single or multilumen, non-tunneled
      • For patients who need vascular access for 1 week to 6 months
      • Used for patients who cannot use arm for BP or blood draw or medications
      • Advantages
        • Lower infection rate
        • Fewer insertion-related complications
        • Decreased cost
      • Complications
        • Catheter occlusion
        • Phlebitis