TY - CHAP M1 - Book, Section TI - Vascular Access A1 - Wittnebel, Karl D. A1 - Rosen, Bradley T. A2 - McKean, Sylvia C. A2 - Ross, John J. A2 - Dressler, Daniel D. A2 - Scheurer, Danielle B. PY - 2017 T2 - Principles and Practice of Hospital Medicine, 2e AB - A central venous catheter (CVC) is any vascular access device whose tip terminates in a large vessel in the body, most commonly the superior vena cava or inferior vena cava. Because indwelling lines pose definite risks to patients, steps should be taken whenever possible to minimize the risk of complications. Always seek operators with skill and experience, employ ultrasound for guidance, take the time to properly position patients, and employ meticulous sterile technique. The indications and necessity for central venous access must be critically reviewed prior to proceeding with a CVC insertion and each CV must be regularly reassessed for ongoing necessity and promptly removed as soon as the risks exceed the benefits. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1137613048 ER -