Central Line Insertion in Hyderabad

What Is A Central Line Placement? A central line is a tiny tube that is placed in a vein for long-term drug therapy Why Is It Necessary? A central line is necessary when you need drugs given through your veins over a long period of time, or when you need kidney dialysis. In these cases, a central line is easier and less painful than having needles put in your veins each time you need therapy. What Should You Expect?

Before The Procedure:

• You must not to eat or drink anything after midnight the night before the study except for your normal medications. Your doctor or nurse will tell you if you should stop taking any of your medications prior to the procedure. • You need to bring a list of all your medications with you to the hospital. • Please tell the doctor if you think you may be pregnant. • A nurse will place an IV in your hand or arm so that you can receive fluids and medications. • Your doctor will answer your questions and ask you to sign a consent form.

Central Line Placement

Procedure for Central Line (Central Venous Catheter) Insertion • Wash hands and don sterile gown and gloves • Clean the area and apply sterile field. Make sure to have some spare gauze swabs ready. • Apply sterile sheath to the ultrasound probe • Confirm anatomy • Under ultrasound guidance insert lignocaine cutaneously, subcutaneously and around internal jugular. • Whilst lignocaine has time to work flush all lumens of the line and then clamp all lumens except the Seldinger port • Ensure caps are available for the lumens • Under ultrasound guidance take Seldinger needle attached to syringe and insert into the internal jugular vein • When blood is freely aspirated remove syringe and immediately inset Seldinger wire. This should pass easily • Keeping hold of the inserted wire, remove the needle. Ensure the wire stays in the vein as you do this • Confirm the position of guide wire under VSU • Pass the dilator over the wire and gently but firmly dilate a tract through to the internal jugular. • At this stage there may be some bleeding so ensure to have some swabs ready • Remove the dilator and pass the central line over the Seldinger wire. Do not advance the line until you have hold of the end of the wire • Once the central line is in place, remove the wire • Aspirate and flush all lumens and re clamp and apply lumen caps • Suture the line to allow 4 points of fixation • Dress with a sterile dressing so the insertion point can be clearly seen

After The Procedure:

• The nurse or technologist will place a sterile dressing over the catheter entry site. • You will be taken to the recovery room where the nurse will monitor your blood pressure and heart rate. • If you are an outpatient, you may leave once your recovery is completed.  Someone will have to drive you home. • You will not be able to drive for 24 hours after the procedure, but you may return to other daily activities.