Central Venous Access Devices

Lisa Dougherty is Clinical Nurse Specialist, Intravenous Services, The Royal Marsden Hospital, Chelsea and Surrey. She is co-editor of the fifth and sixth editions of the Marsden Manual and is well respected nationally and internationally for her work on Intravenous therapy. Central venous access devices (CVADs) are used within both hospital and community health care settings to administer blood or fluid to monitor central venous pressure and to provide long term access for repeat transfusion of blood or blood products, chemotherapy, parenteral nutrition and antibiotic therapy. This book provides a basic understanding of care and management of CVADs for student nurses, newly qualified nurses and more experienced nurses who are unfamiliar in dealing with these devices. It covers patient assessment, appropriate device selection, insertion, care and management of CVADs- including peripherally inserted central catheters, non tunnelled central venous catheters, skin tunnelled catheters and implanted ports. CONTENTS Introduction 1. What is a CVAD? 2. Peripherally inserted central catheters (PICCs) 3. Non tunnelled central venous catheter 4. Skin tunnelled catheter 5. Implanted port 6. Management of CVAD 7. Hazards of insertion 8. Managing complications 9. Patient's Perspective 10. Sources of Information