Anest. intenziv. Med. 2025;36(1):39-42 | DOI: 10.36290/aim.2025.007
Nursing Care of a Central Venous CatheterShort Communication
- 1 Klinika anesteziologie, resuscitace a intenzivnî medicîny, Fakultnî nemocnice Plzeň
- 2 Lékařská fakulta v Plzni, Univerzita Karlova
- 3 Klinika anesteziologie, resuscitace a intenzivnî medicîny, Všeobecná fakultní nemocnice Praha
- 4 1. lékařská fakulta v Praze, Univerzita Karlova
- 5 Klinika anesteziologie, resuscitace a intenzivnî medicîny, Fakultnî nemocnice Hradec Králové
- 6 Lékařská fakulta v Hradci Králové, Univerzita Karlova
- 7 Fakulta zdravotnických studiî, Technická univerzita v Liberci
Nursing care for central venous catheters has undergone significant advancements in recent years due to new materials that reduce infection risk, enhance patient comfort, and allow for less frequent dressing changes. A key innovation is the use of sutureless fixation systems, which eliminate skin trauma caused by sutures while maintaining sufficient catheter stability. Other advanced methods, including transparent dressings, chlorhexidine-releasing dressings, and cyanoacrylate glue for exit site closure, help reduce bacterial colonization and infection risk. This review article focuses on the various materials used and the correct procedures for initial catheter care and subsequent dressing changes.
Keywords: central venous catheter, nursing care, sutureless fixation, chlorhexidine.
Received: March 6, 2025; Revised: March 6, 2025; Accepted: March 7, 2025; Prepublished online: March 26, 2025; Published: April 28, 2025 Show citation
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References
- . Astapenko D, Kletečka J, Řehák D, Nosková P. Výběr optimálního cévního vstupu v perioperační/intenzivní péči. Anest. intenziv. Med. 2024;35(3):185-187. doi: 10.36290/aim.2024.036.
Go to original source...
- . Nosková P, Kletečka J, Astapenko D. Správná kanylace centrálního žilního katétru. Anest. intenziv. Med. 2024;35(4):254-257. doi: 10.36290/aim.2024.048.
Go to original source...
- . Timsit JF, Ruppé E, Barbier F, Tabah A, Bassetti M. Bloodstream infections in critically ill patients: an expert statement. Intensive Care Med. 2020 Feb;46(2):266-284. doi: 10.1007/s00134-020-05950-6.
Go to original source...
Go to PubMed...
- . Cosme V, Massart N, Reizine F, Machut A, Vacheron CH, Savey A, et al; REAREZO study group. Central venous catheter‑related infection: does insertion site still matter? A French multicentric cohort study. Intensive Care Med. 2024 Nov;50(11):1830-1840. doi: 10.1007/s00134-024-07615-0.
Go to original source...
Go to PubMed...
- . Astapenko D, Kletečka J, Brožek T, Maňásek V, Chovanec V. Clinical Practice of Introducing and Care of Vascular Access in Anesthesiology and Intensive Care Medicine - a national questionnaire study in the Czech Republic. Poster. World Congress of Vascular Access: Praha; 2024.
- . Nickel B, Gorski L, Kleidon T, Kyes A, DeVries M, Keogh S, et al. Infusion Therapy Standards of Practice, 9th Edition. J Infus Nurs. 2024 Jan‑Feb 01;47(1S Suppl 1):S1-S285. doi: 10.1097/NAN.0000000000000532.
Go to original source...
Go to PubMed...
- . O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al; Healthcare Infection Control Practices Advisory Committee (HICPAC). Guidelines for the prevention of intravascular catheter‑related infections. Clin Infect, DiS. 2011 May;52(9):e162-93. doi: 10.1093/cid/cir257.
Go to original source...
Go to PubMed...
- . Practice Guidelines for Central Venous Access 2020: An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access. Anesthesiology. 2020 Jan;132(1):8-43. doi: 10.1097/ALN.0000000000002864.
Go to original source...
Go to PubMed...
- . Pinelli F, Pittiruti M, Annetta MG, Barbani F, Bertoglio S, Biasucci DG, et al. A GAVeCeLT consensus on the indication, insertion, and management of central venous access devices in the critically ill. J Vasc Access. 2024 Aug 3:11297298241262932. doi: 10.1177/11297298241262932.
Go to original source...
Go to PubMed...
- . Timsit JF, Tabah A, Mimoz O. Update on prevention of intra‑vascular accesses complications. Intensive Care Med. 2022 Oct;48(10):1422-1425. doi: 10.1007/s00134-022-06763-5. Epub 2022 Jun 29. PMID: 35768729.
Go to original source...
Go to PubMed...
- . Rutledge LF, DeCabooter DP, Walters SA, Bernatchez SF. Catheter securement systems: comparison of two investigational devices to a sutureless securement device, a securement dressing, and sutures in a pig model. Intensive Care Med Exp. 2015 Dec;3(1):60. doi: 10.1186/s40635-015-0060-3.
Go to original source...
Go to PubMed...
- . Sundararajan K, Wills S, Chacko B, Kanabar G, O'Connor S, Deane AM. Impact of delirium and suture‑less securement on accidental vascular catheter removal in the ICU. Anaesth Intensive Care. 2014 Jul;42(4):473-9. doi: 10.1177/0310057X1404200408.
Go to original source...
Go to PubMed...
- . Ullman AJ, Cooke ML, Mitchell M, Lin F, New K, Long DA, et al. Dressings and securement devices for central venous catheters (CVC). Cochrane Database of Systematic Reviews 2015, Issue 9. Art. No.: CD010367. DOI: 10.1002/14651858.CD010367.pub2.
Go to original source...
Go to PubMed...