Central Venous Catheter

Question 1

CVL overall complication rate

Answer 1

15%

Question 2

Complications include

Answer 2

infection, thrombosis, occlusion, bleeding, pneumothorax

Question 3

Sterile technique must be used to prevent

Answer 3

catheter related infection

Question 4

The patient should be draped…

Answer 4

from head to toe

Question 5

The operator should don…

Answer 5

hat, mask, gown, gloves

Question 6

The patient should be placed in…

Answer 6

trendelenburg position, unless contraindicated by emergent circumstances

Question 7

Trendelenburg position allows…

Answer 7

central venous filling to create a larger target and minimize air embolus

Question 8

Seldinger technique

Answer 8

using needle and guide wire to insert catheter into the artery or vein

Question 9

Catheter tip position

Answer 9

the junction of the superior vena cava and the right atrium (angle of louis externally)

Question 10

CXray position of catheter tip

Answer 10

3 cm below the tracheobronchial angle

Question 11

Catheter distances

Answer 11

RIJ- 16 cm

RSC-18.4, LIJ-19.1, LSC-21.2

Question 12

Straight pathways

Answer 12

RIJ, LSC