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CVP

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• Proper patient positioning during CV catheter insertion is
essential to enable optimal access to the site and prevent
contamination.
• Place the patient in Trendelenburg’s position to dilate the veins
and reduce the risk of air embolism
• For subclavian insertion, place a rolled blanket or towel
lengthwise between the sholuders to increase venous
distention
• For jugular insertion, placed a rolled blanket or towel under
the opposite shoulder to extend the neck, making anatomic
landmarks more visible
Trendelenburg Position
• Tilting a supine patient head down, the Trendelenburg position, is
often used to increase venous return during hypotension, to improve
exposure during abdominal and laparoscopic surgery, and to prevent
air emboli and facilitate cannulation during central line placement
• The Trendelenburg position has significant cardiovascular and
respiratory consequences
 The head down position
Increase central venous, intracranial, and intraocular
• Prolonged head-down position also can lead to swelling of the face,
conjunctiva, larynx, and tongue with an increased potential for
postoperative upper airway obstruction
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