surgically placed central catheter…

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central line, central venous catheter, cvl a cvl, soft plastic tube, made of silicone, placed via a small cut, in the neck, chest, groin into a large vein, in the chest, iv fluids, medications to be given, why, cvl used, primary reason, cvl, allow, iv nutrition to be given over a long period of time, most often, a surgically placed cvl is used, attempts to place a percutaneous inserted central catheter, picc, have failed, infants most likely to need a cvl, bowel problems likely, prevent adequate feeding via the gut, long time, infants who, require a very long course of iv medication, cvl placed, all cvls, placed using sterile techniques similar to an operation, in the nicu, operating room, pain medication, minimize discomfort, a small incision is made, in the skin away, vein to be entered, a small metal probe, create a narrow tunnel under the skin, catheter is inserted, the tunnel, into a vein, advanced to a position near the heart, position, the cvl is determined, x-ray, what, the risks of a cvl, form of iv the use of a cvl carries a small risk of infection, longer the cvl is in place the greater the risk, infection, formation of blood clots, in the large veins the heart, infection, blood clots form due, cvl, removed, therapies given, should talk, though the catheters, very soft, flexible, at times they, erode, the blood vessel wall causing the iv fluid, medication to leak, tissue, body cavity, in very rare instances, erosion, a wall, the heart, serious bleeding, poor heart function.