Preventing occlusion and restoring patency to central venous catheters
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Updated: May 3, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
1Brighton & Sussex University Hospitals NHS Trust. deborah.bolton@hsuh.nhs.uk
Insights
Central venous catheters (CVCs) are vital for patients needing long-term intravenous therapy. Prompt management of CVC occlusions is essential to prevent complications and ensure effective treatment.
Area of Science:
- Vascular Access Devices
- Patient Care Management
- Intravenous Therapy
Background:
- Central venous catheters (CVCs) are crucial for managing critically and chronically ill patients, both in hospitals and at home.
- Complications associated with CVCs, particularly occlusions, can lead to prolonged hospital stays and readmissions.
- Effective management of CVCs is essential for successful intravenous therapy.
Purpose of the Study:
- To define central venous access devices (CVADs) used in the U.K.
- To outline methods for preventing and managing CVC occlusions.
- To discuss the assessment and treatment of different types of CVC occlusions.
Main Methods:
- Review of CVC types and their applications in the U.K.
- Description of patency maintenance and occlusion prevention strategies.
- Classification and discussion of assessment and management techniques for CVC occlusions.
Main Results:
- Identification of various CVC types and their indications.
- Strategies for maintaining CVC patency and preventing occlusions are detailed.
- A framework for assessing and managing different occlusion types is presented.
Conclusions:
- Understanding CVC types and proper maintenance is key to preventing complications.
- Timely assessment and management of occlusions are critical for patient outcomes.
- This article provides a comprehensive guide to CVC occlusion management for healthcare professionals.
Abstract:
Central venous catheters (CVCs) may be used for treatment of critically and chronically unwell patients in hospital or in their homes. Complications can occur and should be resolved promptly so they do not result in increased lengths in hospital stay or readmission for patients receiving intravenous therapy at home. This article defines CVCs and the types of central venous access device that are in use in the U.K.; describes how to prevent occlusion and maintain the patency of CVCs; describes the types of occlusions that may occur; and discusses how to assess each type of occlusion and how they may be managed.
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