CHAPTER 23 Vascular Access Device Insertion A large vein is accessed for the purpose of administering medication or nutrition. The vein selected may be the subclavian or the internal jugular. There are two types of vascular access device insertions, the central venous port and the peripheral venous port. The central venous ports and catheters are placed in subclavian or internal jugular veins. The peripheral venous ports (PAS) are placed in the basilic or cephalic veins. The instrument set needed for the procedure includes 2 Bard-Parker knife handles #3; 1 Adson tissue forceps with teeth (1 × 2); 1 Metzenbaum dissecting scissors, 5 inch; 3 Halsted mosquito hemostatic forceps, curved; 1 mayo dissecting scissors, straight; 2 Miller-Senn retractors; 1 Johnson needle holder; 1 tunneling instrument (Takahashi nasal forceps, straight, or Pratt dilators, #13-15, 17-19). If using the central venous port or catheter, add the central venous port or catheter kit. If using the peripheral venous port, add the peripheral venous port kit and catheter finder and delete the tunneling instrument. To place the catheter, Takahashi nasal forceps (straight) or a Pratt dilator are used for tunneling. The catheters that may be used are Groshong or Hickman. 23-1 Top, left to right: Groshong catheter for central venous access; peripheral venous port with catheter attached. Bottom, left to right: Central venous port with catheter attached; Hickman catheter for central venous access. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Breast Biopsy/Lumpectomy Hemorrhoidectomy and/or Pilonidal Cystectomy Neurologic Bone Pan Instruments Arthroscopic Anterior Cruciate Ligament Reconstruction with Patellar Tendon Bone Graft Instruments Stay updated, free articles. Join our Telegram channel Join Tags: Instrumentation for the Operating Room A Photographic Manual Mar 16, 2017 | Posted by admin in NURSING | Comments Off on Vascular Access Device Insertion Full access? Get Clinical Tree
CHAPTER 23 Vascular Access Device Insertion A large vein is accessed for the purpose of administering medication or nutrition. The vein selected may be the subclavian or the internal jugular. There are two types of vascular access device insertions, the central venous port and the peripheral venous port. The central venous ports and catheters are placed in subclavian or internal jugular veins. The peripheral venous ports (PAS) are placed in the basilic or cephalic veins. The instrument set needed for the procedure includes 2 Bard-Parker knife handles #3; 1 Adson tissue forceps with teeth (1 × 2); 1 Metzenbaum dissecting scissors, 5 inch; 3 Halsted mosquito hemostatic forceps, curved; 1 mayo dissecting scissors, straight; 2 Miller-Senn retractors; 1 Johnson needle holder; 1 tunneling instrument (Takahashi nasal forceps, straight, or Pratt dilators, #13-15, 17-19). If using the central venous port or catheter, add the central venous port or catheter kit. If using the peripheral venous port, add the peripheral venous port kit and catheter finder and delete the tunneling instrument. To place the catheter, Takahashi nasal forceps (straight) or a Pratt dilator are used for tunneling. The catheters that may be used are Groshong or Hickman. 23-1 Top, left to right: Groshong catheter for central venous access; peripheral venous port with catheter attached. Bottom, left to right: Central venous port with catheter attached; Hickman catheter for central venous access. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Breast Biopsy/Lumpectomy Hemorrhoidectomy and/or Pilonidal Cystectomy Neurologic Bone Pan Instruments Arthroscopic Anterior Cruciate Ligament Reconstruction with Patellar Tendon Bone Graft Instruments Stay updated, free articles. Join our Telegram channel Join
