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Figure c14/f001
Figure 14.1
(a) Superficial veins of the forearm. (b) Superficial veins of the dorsal aspect of the hand. (c) Central veins and veins of the upper arm.
Figure c14/f005
Figure 14.5
Chest X‐ray showing catheter tip correctly positioned ( arrow ).
Figure c14/f009
Figure 14.9
Patient information booklet on central venous access devices.
Figure c14/f013
Figure 14.13
Safety non‐ported cannula.
Figure c14/f017
Figure 14.17
Cannula in situ .
Figure c14/f021
Figure 14.21
Ultrasound cross‐sectional image of the right internal jugular vein (IJV) without compression through the probe. Image orientation as seen from the he...
Figure c14/f025
Figure 14.25
PICC types.
Figure c14/f029
Figure 14.29
Ways of achieving the Trendelenburg position.
Figure c14/f033
Figure 14.33
Implantable port cross‐section, accessed with non‐coring needle.
Figure c14/f037
Figure 14.37
The Allen test.
Figure c14/f041
Figure 14
Opening the equipment.
Figure c14/f045
Figure 27
Applying digital pressure and removing the stylet.
Figure c14/f049
Figure 23
Wire being threaded in cannula.
Figure c14/f053
Figure 41
Attaching the securing device to the skin. Source : Reproduced with permission from Interrad Medical, Inc.
Figure c14/f002
Figure 14.2
The main veins used for central venous access device placement. Source : Dougherty ( ). Reproduced with permission from John Wiley & Sons.
Figure c14/f006
Figure 14.6
ECG pattern indicating raised P waves.
Figure c14/f010
Figure 14.10
Vein visualization device.
Figure c14/f014
Figure 14.14
Vein Infusion Phlebitis (VIP) Scale. Source : Jackson ( ). Reproduced with permission from EMAP Publishing Ltd.
Figure c14/f018
Figure 14.18
Care plan related to the insertion of a peripheral cannula.
Figure c14/f022
Figure 14.22
Anterior view of superficial veins.
Figure c14/f026
Figure 14.26
PICC with adhesive securing device.
Figure c14/f030
Figure 14.30
Statlock securement device.
Figure c14/f034
Figure 14.34
Implanted ports.
Figure c14/f038
Figure 12
Turn tap to close off pre‐filled syringe and open it to empty syringe.
Figure c14/f042
Figure 19
Checking the needle tip.
Figure c14/f046
Figure 28
Disposing of the stylet into a sharps bin.
Figure c14/f050
Figure 25
Local anaesthetic injection.
Figure c14/f054
Figure 8
Removing the SecurAcath device. Source: Reproduced with permission from Interrad Medical, Inc.
Figure c14/f003
Figure 14.3
Clot formations. Source : Macklin and Chernecky ( ). Reproduced with permission from Elsevier.
Figure c14/f007
Figure 14.7
SecurAcath securing device. Source : Reproduced with permission from Interrad Medical, Inc.
Figure c14/f011
Figure 14.11
Anchoring the vein with the thumb. Source : Dougherty ( ). Reproduced with permission from John Wiley & Sons.
Figure c14/f015
Figure 14.15
Cleaning the skin.
Figure c14/f019
Figure 14.19
Applying the ultrasound probe to the arm to locate veins.
Figure c14/f023
Figure 14.23
Anteromedial view of superficial veins of arm and forearm. Source : Tortora and Derrickson ( ). Reproduced with permission from John Wiley & Sons.
Figure c14/f027
Figure 14.27
Non‐tunnelled multilumen central venous catheter.
Figure c14/f031
Figure 14.31
Tunnelled catheter. (a) Anatomical positioning of tunnelled catheter. (b) Patient with tunnelled catheter in situ .
Figure c14/f035
Figure 14.35
Non‐coring needles have the penetration of a knife so when the needle is removed, the septum closes behind it.
Figure c14/f039
Figure 14
Unblocking an occluded catheter. (a) Aspirate on an empty syringe, which creates a negative pressure. (b) Turn tap to close off the empty syringe and ...
Figure c14/f043
Figure 21
Inserting the cannula. Waiting for first flashback.
Figure c14/f047
Figure 29
Flushing the cannula.
Figure c14/f051
Figure 26
Making an incision with a scalpel.
Figure c14/f056
Figure 10
Flushing a port.
Figure c14/f004
Figure 14.4
Algorithm for partial withdrawal occlusion, that is, fluids can be infused freely by gravity but blood cannot be withdrawn from the catheter. Source ...
Figure c14/f008
Figure 14.8
VAT score. Source : Wells ( ). Reproduced with permission from S. Wells.
Figure c14/f012
Figure 14.12
Ported cannula.
Figure c14/f016
Figure 14.16
Peripheral cannula secured with Statlock.
Figure c14/f020
Figure 14.20
Ultrasound image of veins on screen.
Figure c14/f024
Figure 14.24
PICC consent form.
Figure c14/f028
Figure 14.28
Types of catheter tips. (a) Open‐ended catheter (single and double lumen). (b) Staggered exit open‐ended catheter.
Figure c14/f032
Figure 14.32
Groshong two‐way valve catheter. (a) Infusion (positive pressure). (b) Aspiration (negative pressure). (c) Closed (neutral pressure).
Figure c14/f036
Figure 14.36
Normal arterial trace.
Figure c14/f040
Figure 10
Palpating the vein.
Figure c14/f044
Figure 24
Second flashback.
Figure c14/f048
Figure 30
Method for taping a peripheral cannula.
Figure c14/f052
Figure 27
Advancing the introducer.
Figure c14/f057
Figure 20
Positioning, securing and labelling of cannula.