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Central Venous Catheter Kit

Central Venous Catheter Kit

Central venous catheter kit are used for long-term central venous access in intensive infusion and/or transfusion therapy, invasive central venous pressure measurement. They are usually made up of a variety of components that are necessary to provide control over the process of care. Find out more in this article with our comprehensive guide to central venous catheter kits!

Description

Different kits are available

What is a Central Venous Catheter Kit?

A central venous catheter kit is a medical device that is used to access the central veins of the body. It is made up of a long, thin tube that is inserted into a vein in the neck or chest, and a number of smaller tubes that are attached to it. The kit also contains a syringe and a needle for injecting medication or drawing blood. Central venous catheters are used when intravenous access is required but the veins in the arms are not suitable. They are also used when intravenous fluids need to be given over a long period of time, or when frequent blood tests need to be taken. The risks associated with central venous catheters include infection, bleeding, and damage to the vein. These risks can be reduced by using sterile techniques when inserting the catheter, and by taking care to clean the skin around the insertion site.

Types of Central Venous Catheters

There are a variety of central venous catheter kits available on the market, each designed for a specific purpose. The most common types of central venous catheters are:

 

PICC Lines: A PICC line is a long, thin tube that is inserted through a vein in the arm and passed through to the larger veins near the heart. PICC lines are often used when patients need long-term intravenous access, such as during chemotherapy treatment.

 

Midline Catheters: A midline catheter is a shorter tube that is inserted through a vein in the arm and passed through to the larger veins near the heart. Midline catheters are often used when patients need short-term intravenous access, such as during hospital stays.

 

Implanted Ports: An implanted port is a device that is surgically placed under the skin, usually in the chest area. A small tube runs from the port to a vein, allowing for easy access to the bloodstream. Implanted ports are often used when patients need long-term intravenous access, such as during chemotherapy treatment.

How to choose the right kit for you

There are a few factors that you should consider when choosing a central venous catheter (CVC) kit.

The first is the type of CVC you need. There are two main types of CVCs: peripherally inserted central catheters (PICCs) and tunneled catheters. PICCs are inserted through a vein in your arm and are often used for short-term treatment. Tunneled catheters are inserted through a vein in your chest and are often used for long-term treatment.

The second factor to consider is the size of the CVC you need. CVCs come in various sizes, from 8 French (Fr) to 20 Fr. The size you need will be determined by your healthcare provider based on the type of treatment you're receiving and your individual body size.

The third factor to consider is the material of the CVC you need. CVCs can be made from silicone, polyurethane, or polyvinyl chloride (PVC). Silicone is the most flexible material and is often used for children or adults who require frequent movement or position changes. Polyurethane is less flexible than silicone but more durable, making it a good choice for adults who require long-term treatment. PVC is the least flexible material but is the most affordable, making it a good choice for adults who require short-term treatment.

Central Venous Catheter kit:

Central Venous Catheter kit insertion is a common and often, necessary procedure for the care of critically ill patients. Central venous access may be attained with various devices, depending on the indication for catheter insertion. Broadly, central venous catheters allow for the administration of vasoactive medications and agents that are known venous irritants but catheters are also used to perform dialysis or plasmapheresis, or as a conduit to insert additional devices for more complex procedures. This activity reviews central venous catheter insertion and highlights the role of the interprofessional team in managing patients who undergo this procedure.
Objectives:
  • Identify the indications and contraindications for central venous catheter insertion.
  • Describe the technique involved in central venous catheter insertion.
  • Review the common complications of central venous catheter insertion.
  • Outline the importance of interprofessional team collaboration, communication, and care coordination to enhance the care of patients requiring central venous catheter insertion to improve outcomes.
There are relative and absolute contraindications to placing central venous catheters, and contraindications may be site-specific. Relative contraindications may be over-ruled by the urgency with which the catheter needs to be placed and thus require careful consideration of the patient’s underlying pathology and hemodynamic status. Absolute contraindications:
  • Active skin or soft tissue infection at the potential site of the central line.
  • Anatomical distortion at the site, which includes implantable/indwelling hardware, such as hemodialysis catheters and pacemakers.
  • Vascular injury proximal or distal to the site of the catheter insertion, such as in traumatic injuries.
Relative contraindications:
  • Coagulopathy, though the actual incidence of clinically important bleeding is around 0.8%.
  • Thrombocytopenia, which seems to correlate with a greater risk of adverse events.
  • Uncooperative awake patient.
  • Distortion of landmarks by congenital anomalies or trauma.
  • Morbid obesity.
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