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Central Venous Access for Rural Surgeons

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Advanced Surgical Techniques for Rural Surgeons

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Abstract

Central venous access can be performed with the anatomic landmark technique or with ultrasound guidance. Complications of insertion of central venous catheters include pneumothorax, vascular injury, and nerve injury. Indwelling complications include infection and thrombosis. Real-time ultrasound guidance can reduce the risk of injuries from central venous access. The ideal location of the catheter tip is in the distal superior vena cava, near the junction of the superior vena cava and the right atrium. Catheters with tips that extend deep into the right atrium may cause cardiac arrhythmias and have increased thrombosis rate. Catheters with tips in the proximal superior vena cava and inlet vessels (brachiocephalic veins) and subclavian veins also have higher thrombosis rates.

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Author information

Authors and Affiliations

  1. Department of Surgical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, TX, 77030, USA

    Ervin B. Brown M.D., F.A.C.S.

Authors
  1. Ervin B. Brown M.D., F.A.C.S.
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Correspondence to Ervin B. Brown M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Amy L. Halverson

  2. Department of Surgery, Mithoefer Center for Rural Surgery, Cooperstown, New York, USA

    David C. Borgstrom

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© 2015 Springer Science+Business Media New York

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Brown, E.B. (2015). Central Venous Access for Rural Surgeons. In: Halverson, A., Borgstrom, D. (eds) Advanced Surgical Techniques for Rural Surgeons. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1495-1_19

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  • DOI: https://doi.org/10.1007/978-1-4939-1495-1_19

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1494-4

  • Online ISBN: 978-1-4939-1495-1

  • eBook Packages: MedicineMedicine (R0)

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