TRIPLE LUMEN CENTRAL VENOUS CATHETER STANDARD SETUP

TKVO Solution
T Connector Eg. D10W ć Heparin

Volume Expander
° Eg. 0.9% NaCl
1 Lumen

Maintenance Fluid
B 2 Lumen
° Eg. D10W P
T Connector
Amino Acids C
(Infants ≤1500gm)
Nutralipids
A °
U
3 Lumen
More Potent Vasoactive Drugs
Eg. Epinephrine/Norepinephrine
B Manifold M
Less Potent Vasoactive Drugs
Eg. Dopamine/Dobutamine

Y TKVO Solution
Eg. D10W ć Heparin
P
Analgesic
Triple Eg. Morphine
Extension
Sedative
Eg. Midazolam

Picture shown: 5.0Fr Triple Lumen Umbilical Catheter (Argyle)

Guideli
Policy NN.11.05 Neonatal Program Policy & Procedure Manual Effective Date: 01-SEP-2010
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 TRIPLE LUMEN CENTRAL VENOUS CATHETER STANDARD SETUP

nes for Triple Lumen Central Venous Catheter Standard Set Up

Primary (largest) Lumen

 Used for emergency access, volume expander, intermittent medications, boluses, and blood products.
 A push port/access port (T-connector) is attached for intermittent access.
 Usually kept patent (TKVO) by a heparinized solution, e.g., D10W with heparin.

Secondary Lumen
 Used for TPN and/or dextrose solution.
 A push port/access port (T-connector) is attached for intermittent access.

Tertiary Lumen
 Used for vasoactive drugs, analgesics and/or sedatives.
 No push port/access port (T-connector) is attached to this lumen to avoid intermittent access resulting in an inadvertent push of
the vasoactive drugs, analgesics and/or sedatives.
 Aim for each solution to infuse at least 0.1 mL/hr. Heparinized D10W is infused to ensure the infusion rate on this arm is at
least 1mL/hr.

NOTE: The minimum rate of infusion to keep a CVC lumen patent is 1mL/hr if there is a heparinized solution and
2mL/hr if there is no heparinized solutions.

Example of Triple Lumen CVCs used in NICU

5.0 Fr UVC (Argyle) 5.0 Fr Non-Cuffed CVC (Cook)
Primary Lumen (Largest/Distal) 18 Ga 18 Ga
Secondary Lumen (Second/Medial) 21 Ga 23 Ga
Tertiary Lumen (Third/Proximal) 21 Ga 23 Ga
.

Policy NN.11.05 Neonatal Program Policy & Procedure Manual Effective Date: 01-SEP-2010
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Refer to online version – Print copy may not be current – Discard after use