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Central Venous Catheterization

Central Venous Catheterization



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Published by drhiwaomer
surgical lecture
surgical lecture

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Published by: drhiwaomer on Apr 05, 2008
Copyright:Attribution Non-commercial


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Central VenousCentral VenousCatheterizationCatheterization
Dr. Hiwa Omer AhmedDr. Hiwa Omer AhmedAssistant Professor Assistant Professor 
Indications for central venousIndications for central venouscatheter cannulation:catheter cannulation:
Monitoring of central venous pressures inMonitoring of central venous pressures inshock or heart failure.shock or heart failure.management of fluid status.management of fluid status.administration of total parenteral nutrition.administration of total parenteral nutrition.prolonged antimicrobial therapy or prolonged antimicrobial therapy or chemotherapychemotherapy
Location of catheterization siteLocation of catheterization site
The internal jugular approach shouldThe internal jugular approach shouldnot be used in patients with a carotid bruit,not be used in patients with a carotid bruit,carotid stenosis, or an aneurysm.carotid stenosis, or an aneurysm.
The subclavian approach should beThe subclavian approach should beavoided in patients with emphysema or avoided in patients with emphysema or bullae.bullae.

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