Central Venous Access Devices - The Royal Marsden

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ForewordThis is one of a series of booklets written to provide information forpatients and their relatives. It is impossible to include everything youmay need to know. Your doctor or nurse will be able to answer specificquestions.This booklet has been prepared by Royal Marsden specialist nurses,with input from doctors and patients.We hope you find it helpful and would welcome your comments so thatthe next edition can be improved further.
Central venous access devicesContentsIntroduction 1What is a central venous access device (CVAD)? 1What are the advantages of having a central venousaccess device? 1What are the disadvantages of having a central venousaccess device? 2What types of CVADs are available? 2How will I know what device to choose? 2Peripherally inserted central catheters (PICCs) 4What is a PICC? 4What are the advantages of a PICC? 4What are the disadvantages of a PICC? 5How is the catheter inserted? 5How do I care for the PICC? 6How does the PICC dressing get changed? 6How do I flush the catheter? 8What equipment will I be given? 9How is the catheter removed? 9Skin-tunnelled catheters 10What is a skin tunnelled catheter? 10What are the advantages of a skin-tunnelled catheter? 10What are the disadvantages of a skin-tunnelled catheter? 11How is the catheter inserted? 11How do I care for the skin-tunnelled catheter exit site? 12How do I flush the catheter? 12What equipment will I be given? 13How is the catheter removed? 13
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Central Venous Access Devices - The Royal Marsden

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