Central venous access devices. Part 1: devices for acute care

Area of Science:

• Medical Devices
• Vascular Access
• Infection Control

Background:

• Central venous access devices (CVADs) are crucial for administering therapies and monitoring in acute and long-term care settings.
• Proper selection, insertion, and management of CVADs are essential for patient safety and treatment efficacy.

Purpose of the Study:

• To provide a comprehensive overview of central venous access devices (CVADs).
• To detail the use of CVADs in both acute and longer-term care settings.
• To guide healthcare professionals on CVAD selection, insertion, care, and removal.

Main Methods:

• Review of vascular access device classifications.
• Focus on CVADs for acute care, including indications and therapies.
• Step-by-step explanation of acute care CVAD insertion procedures.
• Discussion of infection control measures and epic2 recommendations.
• Overview of CVAD care and removal of non-tunnelled central catheters.
• Exploration of CVADs for longer-term use in Part 2.

Main Results:

• Classification of vascular access devices.
• Detailed rationale and indications for central venous access.
• Practical, step-by-step insertion guide for acute care CVADs.
• Emphasis on infection control during CVAD insertion and care.
• Procedures for CVAD care and removal.

Conclusions:

• Central venous access devices are versatile tools for acute and long-term patient care.
• Adherence to best practices in insertion and maintenance minimizes complications.
• This article serves as a guide for effective CVAD management in diverse clinical scenarios.