Central Line Placement

A stepwise “A to Z” central venous catheterization approach: a brief review

“…Fewer catheter malpositions are associated with a right-sided access. On the contrary, a left-sided access is preferred when cardiac access is needed (i.e., pacer insertion) (2). The perceived advantages of each site in specific situations are as follows (2-4):…”

“…Multilumen catheters are preferred when a multitude of parenteral therapies are required. However, multilumen catheters create slower flow rates and risk of infection or thrombosis (2,3,5). Antimicrobial-impregnated catheters are used when they are expected to remain for more than 5 days (2,3).…”