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Updated: Jun 1, 2026
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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Central venous catheter database: an important issue in quality assurance
Juan Bass1, Jacqueline Halton, Youenn Drouet
1Department of Surgery, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada K1H 8L1. bass@cheo.on.ca
Journal of Pediatric Surgery
|May 28, 2011
Summary
The location of central venous catheter tips in the superior vena cava/right atrial junction significantly impacts longevity. Surgeon-controlled tip placement is the most crucial factor for extending catheter dwell time.
Area of Science:
- Vascular Access Devices
- Medical Device Longevity
- Clinical Outcomes Research
Background:
- Central venous catheters (CVCs) are essential for long-term intravenous access.
- Factors influencing the longevity of CVCs require detailed analysis to optimize patient care and reduce complications.
Purpose of the Study:
- To investigate clinical factors affecting the longevity of central venous catheters.
- To identify predictors of catheter removal or failure.
Main Methods:
- Analysis of comprehensive clinical data from 1167 central venous catheter insertions (totally implantable devices [TID] and tunneled lines [TL]).
- Utilized univariate and multivariate Cox proportional hazards regression models.
- Data collected from October 1988 to January 2009.
Main Results:
- Totally implantable devices (TIDs) demonstrated longer longevity than tunneled lines (TL).
- Catheter tip placement in the superior vena cava (SVC)/right atrial junction and right-sided insertion were associated with increased longevity.
- Use for total parenteral nutrition and younger patient age were linked to shorter device longevity.
Conclusions:
- Catheter tip location in the SVC/right atrial junction is the most significant surgeon-influenced factor for enhancing CVC longevity.
- While multiple factors affect longevity, optimizing tip placement offers a direct avenue for improvement.
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