Central Line Placement

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Central Line Placement
The Animal Emergency Clinic Puget Sound
Veterinary Referral Center, PLLC
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Lidocaine Injection

• Provides local anesthetic.

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Sterile Gloves

• Maintains sterility for the placement of the
  central line.

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Initial Puncture

• Use the catheter provided.

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• Ensure you have a good flash back.
• Remove needle.
• Leaving only the catheter.

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Threading the Stylet

• Straighten stylet end.
• Place onto end of catheter.
• Advance with your thumb.

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• Remove stylet case.
• Remove catheter.
• Leaving only long stylet in vein.

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Tissue separator

• Thread tissue separator onto stylet.
• Advance through skin.
• Provides larger access.
• Remove tissue separator.
• Leave stylet in place.

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Main catheter

• Thread main catheter onto stylet.
• Feed into vein.

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Remove Stylet

• Place pressure at puncture site.
• Remove stylet.

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Caps

• Keep pressure on puncture site with gauze.
• Place caps on all ports.

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Home Stretch

• Placement almost complete.
• Caps on all ports.

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Clean

• Clean area to remove excess blood.

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Flushing

• Flush all ports to ensure good flow.

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Sample collection

• Check sample flow at all ports.
• Flush after.

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Suturing

• Place needle through anchor hole provided.
• Peirce skin.
• Thread suture through needle.
• Remove needle.
• Both sides.

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Suturing

• Make loose loops ensuring less tension on skin.
• Place a couple of ties on each side.

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Blue Caps

• Place blue caps on all ports.

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Bandaging

• Place Telfa pad over catheter.
• Apply roll gauze around neck.

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Bandaging

• Cover gauze with vet wrap.
• Use tape to secure lines.

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