Central Venous Jugular Catheters

Jennifer Good, DVM, DACVECC, University of Georgia Veterinary Teaching Hospital

Sign in to Print/View PDF

In the Literature

Reminga CL, Silverstein DC, Drobatz KJ, Clarke DL. Evaluation of the placement and maintenance of central venous jugular catheters in critically ill dogs and cats. J Vet Emerg Crit Care (San Antonio). 2018;28(3):232-243.


FROM THE PAGE …

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.

Content continues after advertisement


… TO YOUR PATIENTS

Key pearls to put into practice:

1

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.

2

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. 

3

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

References

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.

Practice Tools

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

© 2018 Educational Concepts, L.L.C. dba Brief Media ™ All Rights Reserved. Privacy Policy (Updated 05/08/2018) Terms of Use (Updated 05/08/2018)