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Understanding percutaneous and subcutaneous central venous access devices
Gina M Luckianow1, David Smith, David Bullen
1Gina M. Luckianow practices at Yale-New Haven Hospital in New Haven, Conn. David Smith and David Bullen practice in the surgical ICU at the Philadelphia VA Medical Center. Lewis J. Kaplan is chief of surgery at the Philadelphia VA Medical Center and an associate professor of surgery at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, Pa. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Central venous access devices (CVADs) are essential for various treatments. Understanding their uses, complications, and removal is crucial for healthcare providers, especially physician assistants.
Area of Science:
- Medical Devices
- Vascular Access
- Patient Care
Background:
- Central venous access devices (CVADs) are widely utilized in both hospital and community healthcare settings.
- Effective management of CVADs requires comprehensive knowledge from healthcare professionals.
Purpose of the Study:
- To outline the indications and intended uses of common CVADs.
- To detail the functional lifespan, potential complications, and removal criteria for CVADs.
- To provide a resource for physician assistants regarding CVAD management.
Main Methods:
- Literature review of common CVAD types and applications.
- Synthesis of information on CVAD indications, uses, lifespan, complications, and removal.
- Focus on practical knowledge for physician assistants.
Main Results:
- Description of various CVADs employed for medication, nutrition, and chemotherapy administration.
- Explanation of CVADs used for hemodialysis and laboratory blood sampling.
- Identification of key factors influencing CVAD selection and management.
Conclusions:
- Physician assistants need a thorough understanding of CVADs for optimal patient care.
- Knowledge of CVAD indications, uses, complications, and removal is vital for safe practice.
- This article serves as a foundational guide for physician assistants on CVADs.
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