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Related Concept Videos

Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Assessment of apical pulse01:17

Assessment of apical pulse

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...

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Related Experiment Video

Updated: Jul 19, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Should paediatric central lines be aspirated before use?

Malcolm G Coulthard1, Roderick Skinner

  • 1Department of Pediatric Nephrology, Royal Victoria Infirmary, Newcastle upon Tyne, UK. malcolm.coulthard@nuth.nhs.uk

Archives of Disease in Childhood
|October 28, 2006
PubMed
Summary

Blood clots frequently form in pediatric central venous lines. Aspirating clots from all lines, including smaller ones used for chemotherapy, is recommended to prevent pulmonary emboli.

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Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

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Last Updated: Jul 19, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Area of Science:

  • Pediatric Nephrology
  • Vascular Access Devices
  • Thrombosis

Background:

  • Blood clots (thrombi) are common in pediatric hemodialysis central venous lines, necessitating routine aspiration before use to prevent pulmonary embolism.
  • Smaller diameter central lines, often used for parenteral nutrition and chemotherapy, are typically not aspirated, raising concerns about clot formation.

Purpose of the Study:

  • To investigate the occurrence and characteristics of clots in central venous lines of children undergoing cancer chemotherapy.
  • To compare clot formation in these smaller lines with those used in pediatric hemodialysis.

Main Methods:

  • Central venous lines from children undergoing cancer chemotherapy and pediatric hemodialysis patients were assessed for clots.
  • Clot presence, frequency, and weight were compared between the two groups.

Main Results:

  • Clots were aspirated in 83% of hemodialysis occasions, with every child experiencing clots at least once.
  • Clots were also found in smaller chemotherapy lines (64% of occasions), but were less frequent and had a lower median weight (14.1 mg vs. 25.2 mg) compared to hemodialysis lines (p=0.01).

Conclusions:

  • While small pulmonary emboli from non-aspirated small-diameter central lines may not be individually clinically significant, cumulative embolization from daily use (e.g., long-term parenteral nutrition) could exceed 3 grams annually.
  • Aspiration of all pediatric central venous lines before use should be considered to mitigate the risk of clot-related complications.