TY - CHAP M1 - Book, Section TI - Accessing Indwelling Central Venous Lines A1 - Cruz, John A1 - Gorbatkin, Chad A2 - Reichman, Eric F. PY - 2018 T2 - Reichman's Emergency Medicine Procedures, 3e AB - Venous access for blood sampling, hemodialysis, hydration, medication administration, and nutritional support is essential for the management of many chronic diseases.1,2 A variety of indwelling central venous access devices have been developed to avoid frequent venipunctures and permit direct access to the central circulation. Approximately 150 million intravascular devices are currently in use in the United States.3 These devices may be partially or completely embedded under the patient’s skin (Figures 66-1 and 66-2). The Emergency Physician must be able to access these devices to administer medications and withdraw blood samples without causing catheter damage or catheter thrombosis. Familiarity with this process can be potentially lifesaving if the need for resuscitation becomes imminent in a patient with an indwelling line. The necessary procedures for successfully accessing indwelling devices are described in this chapter. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/11 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159798345 ER -