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Central or Femoral Line Procedure Step By Step Dr Subodh SKP
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Central or Femoral Line Procedure Step By Step || Dr Subodh SKP • Central Line or Femoral Line Procedure in ICU or Emergency. Dr Subodh SKP • Femoral Line Catheterization Procedure | Central Line Placement | Central Venous Line Procedure| • **************************************************** • Hi, my self Dr Subodh Kumar in this video i will show you how to place central venous catheterization in femoral vein. • In this video i will show you step by step central line insertion, femoral line insertion procedure in ICU or Emergency. • **Pre-procedure ** • Consent patient if conscious otherwise document why the procedure is in the patients best interests • Consent should include: • Infection, bleeding (arterial puncture, haematoma, haemothorax), pain, failure, damage to surrounding structres (including pneumothorax), thrombosis. • Set up sterile trolley • *Procedure for central line (central venous catheter) insertion* • Wash hands and don sterile gown and gloves • Clean the area and apply sterile field. Make sure to have some spare gauze swabs ready. • Confirm anatomy • insert lignocaine cutaneously, subcutaneously • Whilst lignocaine has time to work flush all lumens of the line and then clamp all lumens except the Seldinger port • Ensure caps are available for the lumens • take Seldinger needle attached to syringe and insert into the femoral vein • When blood is freely aspirated remove syringe and immediately inset Seldinger wire. This should pass easily • Keeping hold of the inserted wire, remove the needle. Ensure the wire stays in the vein as you do this • Use scalpel to make an small incision in the skin (approx 3mm). This should be done cutting away from the wire so as not to damage it • Pass the dilator over the wire and gently but firmly dilate a tract through to the internal jugular. • At this stage there may be some bleeding so ensure to have some swabs ready • Remove the dilator and pass the central line over the Seldinger wire. Do not advance the line until you have hold of the end of the wire • Once the central line is in place, remove the wire • Aspirate and flush all lumens and re clamp and apply lumen caps • Suture the line to allow 4 points of fixation • Dress with a clear dressing so the insertion point can be clearly seen • ***************************************************** • Your Queries:- • central line insertion • central line insertion uses central line insertion site • central line insertion steps • central line catheter • central line insertion ppt • central line insertion vein • central line kit price • central line catheter size • central line insertion complications • central line kaise dalte hain • central line schedule central line set up • central line near me • central line problems • how to do a central line • central line kaise lagaya jata hai • central line kaise lagate hai • central line kaise lagaen • central line kaise lagaye • femoral line procedure note • femoral line placement • femoral line insertion • femoral line insertion procedure • femoral line procedure • femoral line catheter • femoral line size • femoral line removal protocol • femoral line vs central line • femoral line placement confirmation • icu • Emergency • ************************************************************** • [email protected] • ************************************************************** • #centralLine, #femoraLine, #icu #abg #arterial #emergency
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