Vascular Access Options

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Vascular Access Options

Peripherally Inserted Central Catheter (PICC)

• Nursing Management: Change dressing regularly, flush the PICC with saline solution as prescribed, and educate patients on proper PICC care

• Monitoring: Monitor PICC insertion site daily for signs of infection, monitor IV fluids and medications administered through the catheter

• Disadvantages: More expensive than CVC, may require repeated attempts at insertion

• Advantages: Less invasive than CVC, reduces risk of infection and mechanical failure

Central Venous Catheter (CVC)

• Nursing Management: Change dressing regularly, flush the catheter with saline solution as prescribed, and educate patients on proper catheter care

• Monitoring: Monitor CVC insertion site daily for signs of infection, monitor IV fluids and medications administered through the catheter

• Assessment: Monitor for signs of infection (e.g., redness, swelling, pus), monitor blood flow and patency, and assess for signs of blood clotting

• Disadvantages: Risk of infection, blood clotting, and mechanical failure

• Advantages: Convenient for long-term access, easy to maintain, and suitable for patients requiring frequent medication administration

References: https://onlinecjc.ca/article/S0828-282X(23)00049-1/abstract https://www.hamiltonhealthsciences.ca/wp-content/uploads/2022/06/PICC.pdf https://orbit.texthelp.com/?file=https%3A%2F%2Fwww.rch.org.au%2FuploadedFiles%2FMain%2FContent%2Fanaes%2Fa_procedural_guide_to_midline_insertion.pdf https://www.uscjournal.com/articles/contemporary-review-hemodynamic-monitoring-critical-care-setting https://cancer.ca/en/treatments/tests-and-procedures/central-venous-catheter

Peripheral Arterial Catheter (PAC)

• Nursing Management: Change dressing regularly, flush the PAC with saline solution as prescribed, and educate patients on proper PAC care

• Monitoring: Monitor PAC insertion site daily for signs of infection, monitor IV fluids and medications administered through the catheter

• Assessment: Monitor for signs of infection (e.g., redness, swelling), monitor blood flow and patency

• Disadvantages: May cause discomfort or pain during insertion and removal

• Advantages: Easy to insert and remove, reduces risk of infection and mechanical failure

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Midline Catheter

• Nursing Management: Change dressing regularly, flush the midline catheter with saline solution as prescribed, and educate patients on proper midline catheter care

• Monitoring: Monitor midline catheter insertion site daily for signs of infection, monitor IV fluids and medications administered through the catheter

• Assessment: Monitor for signs of infection (e.g., redness, swelling, pus), monitor blood flow and patency

• Disadvantages: May require repeated attempts at insertion

• Advantages: Less invasive than CVC and PICC, reduces risk of infection and mechanical failure