(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.
Chest X‐ray showing catheter tip correctly positioned ( arrow ).
Patient information booklet on central venous access devices.
Safety non‐ported cannula.
Cannula in situ .
Ultrasound cross‐sectional image of the right internal jugular vein (IJV) without compression through the probe. Image orientation as seen from the he...
Ways of achieving the Trendelenburg position.
Implantable port cross‐section, accessed with non‐coring needle.
The Allen test.
Opening the equipment.
Applying digital pressure and removing the stylet.
Wire being threaded in cannula.
Attaching the securing device to the skin. Source : Reproduced with permission from Interrad Medical, Inc.
The main veins used for central venous access device placement. Source : Dougherty ( ). Reproduced with permission from John Wiley & Sons.
ECG pattern indicating raised P waves.
Vein visualization device.
Vein Infusion Phlebitis (VIP) Scale. Source : Jackson ( ). Reproduced with permission from EMAP Publishing Ltd.
Care plan related to the insertion of a peripheral cannula.
Anterior view of superficial veins.
PICC with adhesive securing device.
Statlock securement device.
Turn tap to close off pre‐filled syringe and open it to empty syringe.
Checking the needle tip.
Disposing of the stylet into a sharps bin.
Local anaesthetic injection.
Removing the SecurAcath device. Source: Reproduced with permission from Interrad Medical, Inc.
Clot formations. Source : Macklin and Chernecky ( ). Reproduced with permission from Elsevier.
SecurAcath securing device. Source : Reproduced with permission from Interrad Medical, Inc.
Anchoring the vein with the thumb. Source : Dougherty ( ). Reproduced with permission from John Wiley & Sons.
Cleaning the skin.
Applying the ultrasound probe to the arm to locate veins.
Anteromedial view of superficial veins of arm and forearm. Source : Tortora and Derrickson ( ). Reproduced with permission from John Wiley & Sons.
Non‐tunnelled multilumen central venous catheter.
Tunnelled catheter. (a) Anatomical positioning of tunnelled catheter. (b) Patient with tunnelled catheter in situ .
Non‐coring needles have the penetration of a knife so when the needle is removed, the septum closes behind it.
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 ...
Inserting the cannula. Waiting for first flashback.
Flushing the cannula.
Making an incision with a scalpel.
Flushing a port.
Algorithm for partial withdrawal occlusion, that is, fluids can be infused freely by gravity but blood cannot be withdrawn from the catheter. Source ...
VAT score. Source : Wells ( ). Reproduced with permission from S. Wells.
Peripheral cannula secured with Statlock.
Ultrasound image of veins on screen.
PICC consent form.
Types of catheter tips. (a) Open‐ended catheter (single and double lumen). (b) Staggered exit open‐ended catheter.
Groshong two‐way valve catheter. (a) Infusion (positive pressure). (b) Aspiration (negative pressure). (c) Closed (neutral pressure).
Normal arterial trace.
Palpating the vein.
Method for taping a peripheral cannula.
Advancing the introducer.
Positioning, securing and labelling of cannula.