Central venous access devices: care and management

Introduction. 1. What is a CVAD?. Definition. Uses. Advantages and disadvantages. Patient assessment. General aspect of Insertion - by whom, where, infection control issues such as skin cleansing etc. Issues related to consent. 2. Peripherally inserted central catheters (PICCs). Definition. Types. Uses. Advantages and disadvantages. Insertion. Immediate care. Follow up care. Removal. 3. Non tunnelled short-term central venous catheters. Definition. Types. Uses. Advantages and disadvantages. Insertion. Immediate care. Follow up care. Removal. CVP monitoring. 4. Skin-tunnelled catheters. Definition. Types. Uses. Advantages and disadvantages. Insertion. Immediate care. Follow up care. Removal. 5. Implanted ports. Definition. Types. Uses. Advantages and disadvantages. Insertion. Immediate care. Follow up care. Removal. 6. Management of CVADs. Securement and dressing. Maintaining patency. Prevention of infection. Taking blood samples. 7. Hazards of insertion. Pneumothorax. Definition. Prevention. Management action. Haemorrhage. Definition. Prevention. Management action. Air embolism. Definition. Prevention. Management action. Infection. Definition. Prevention. Management action. Thrombosis. Definition. Prevention. Management action. 8. Managing complications. Catheter damage. Catheter malposition. Catheter occlusion. 9. Patient Perspective. Patients view of CVADs. Education and training - examples of teaching programme. Patients information sheets - examples. . Appendix 1: The AccessAbility Decision-Making Model. Appendix 2: Consent form for PICC insertion. Appendix 3: Sources of Information