Talk:Central venous catheter

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[edit] Haemodialysis

I work in the Renal ward of my local hospital and thought I should point out we use Internal Jugular and Femoral lines as temporary access, along with Tunnel Neck Lines (Sub-clavian) as a more permanent solution. This is usually until a fistula can be created as this has a lower risk of infection. Perhaps someone with more medical knowledge (i'm just a Health Care Assistant) could add to the page ?

Cheers —The preceding unsigned comment was added by 82.39.202.88 (talk) 22:05, 11 January 2007 (UTC).

[edit] Chlorhexidine

It's been known for some time that chlorhexidine is better than povidone-iodine tincture for cleaning. It now turns out that it can prevent 50% of all catheter colonisations - http://archinte.ama-assn.org/cgi/content/abstract/167/19/2066?etoc ; we will need to mention this or some other study soon. JFW | T@lk 05:48, 26 October 2007 (UTC)

I've just added this to the text, under "Infection:Treatment". Please check if I have formatted the reference correctly. Thanks. --Kyoko 07:24, 26 October 2007 (UTC)

[edit] NICE guideline

In the UK, people commonly refer to the NICE "guideline" on the use of ultrasound. The reference is:

  • National Institute for Clinical Excellence. Guidance on the use of ultrasound locating devices for placing central venous catheters. NICE Technical report number 49. September 2002.

This should probably be mentioned, although the evidence is present only in potentially difficult lines. JFW | T@lk 09:16, 5 March 2008 (UTC)