No results found.
Jennifer Good, DVM, DACVECC, University of Georgia Veterinary Teaching Hospital
Sign in to Print/View PDF
This is a filled error message
To access full articles on www.cliniciansbrief.com, please sign in below.
Create an account for free
Want free access to the #1 publication for diagnostic and treatment information? Create a free account to read full articles and access web-exclusive content on cliniciansbrief.com.
Passwords do not match
Where are you from?
AG|Antigua and Barbuda
BA|Bosnia and Herzegovina
IO|British Indian Ocean Territory
CF|Central African Republic
CC|Cocos (Keeling) Islands
CD|Congo, the Democratic Republic of the
FK|Falkland Islands (Malvinas)
TF|French Southern Territories
HM|Heard Island and McDonald Islands
VA|Holy See (Vatican City State)
KR|Korea, Republic of
LY|Libyan Arab Jamahiriya
MK|Macedonia, the former Yugoslav Republic
FM|Micronesia, Federated States of
MD|Moldova, Republic of
MP|Northern Mariana Islands
PG|Papua New Guinea
KN|Saint Kitts and Nevis
VC|Saint Vincent and the Grenadines
ST|Sao Tome and Principe
GS|South Georgia and the South Sandwich Islands
PM|Saint Pierre and Miquelon
SJ|Svalbard and Jan Mayen
SY|Syrian Arab Republic
TW|Taiwan, Province of China
TZ|Tanzania, United Republic of
TT|Trinidad and Tobago
TC|Turks and Caicos Islands
AE|United Arab Emirates
UM|United States Minor Outlying Islands
VG|Virgin Islands, British
VI|Virgin Islands, U.S.
WF|Wallis and Futuna
DC|District of Columbia
Micronesia (Federated States Of)
US Minor Outlying Islands
Armed Forces Africa
Armed Forces Americas Aa (except Canada)
Armed Forces Canada
Armed Forces Europe Ae
Armed Forces Middle East Ae
Armed Forces Pacific Ap
PE|Prince Edward Island
Tell us about yourself
Choose the category that describes your business/professional activity
What best describes your position? (question 1 of 2)
Veterinarian Role: (question 2 of 2)
Non-Veterinarian Role: (question 2 of 2)
Yes, I would like to receive updates about products & services, promotions, special offers, news & events from Brief Media.
Already have an account? Sign in here.
Acceptance to the GDPR regulations is required.
Placement of central venous jugular catheters (CVJCs), which use the over-the-wire modified Seldinger technique, can be labor-intensive.1 CVJCs require sterile placement, daily cleaning and disinfecting, and radiography to confirm proper placement. Benefits of CVJCs include the ability to leave the catheters safely in place for several days, easier blood sampling, and the ability to deliver multiple fluid types or medications, including difficult-to-administer infusions (eg, high-percent dextrose). Catheters range from single to triple lumen and may be placed in a pelvic limb vessel if the length is sufficient to place the catheter tip into the caudal vena cava.
Content continues after advertisement
This prospective study of 27 dogs and 20 cats in a veterinary intensive care unit aimed to describe problems noted during CVJC placement, conditions associated with unsuccessful catheterization, and complications of CVJC maintenance. Daily assessment, inspection, and cleansing (with dilute chlorhexidine solution) of the insertion site were performed. The overall success rate for catheter placement was 91.5%, with most catheters successfully placed on the first attempt. Older patients and those with low BCS or weight were more likely to require more than one attempt. No complications were associated with catheter use in 67.4% of patients. Most complications were mechanical obstructions (eg, venous thrombosis, kinking, malposition) and irritation (eg, skin redness, local bruising, bandage-related cervical swelling). Inflammatory complications (eg, sterile phlebitis, catheter-related infections) were the least common. The majority of complications were minor and did not necessitate catheter removal. Level of staff experience and occupation of catheter placer (eg, veterinarian vs veterinary nurse) were not found to affect the number of complications.
Key pearls to put into practice:
It is worthwhile to become trained in proper CVJC placement to prepare for patients hospitalized for prolonged periods. Use of multilumen catheters can help decrease the number of peripheral blood sticks and overall number of catheters needed.
Sterile placement of single-lumen intracatheters can be used in lieu of CVJCs. Single-lumen intracatheters are more common in general practice, come in a variety of lengths, do not require use of the modified Seldinger technique for placement, and can be placed in jugular veins or pelvic limb vessels to allow for repeated blood sampling and IV infusions.
Daily unwrapping and cleansing of any catheter sites—peripheral or central—along with the use of gloves and hand-washing between patients can decrease catheter-related infections and should be an important part of hospital protocol.2
Material from Clinician’s Brief may not be reproduced, distributed, or used in whole or in part without prior permission of Educational Concepts, LLC. For questions or inquiries please contact us.
Clinician's Brief provides relevant diagnostic and treatment information for small animal practitioners. It has been ranked the #1 most essential publication by small animal veterinarians for 9 years.*
*2007-2017 PERQ and Essential Media Studies
It's Free & Simple
Delivered to Your Inbox
Join the Conversation
Follow us @CliniciansBrief
© 2018 Educational Concepts, L.L.C. dba Brief Media ™ All Rights Reserved.