Patients for whom intravenous access is difficult are frequent users of the Emergency Department. When common sites of peripheral access are sclerosed or inaccessible, alternative measures of access include placement of a central venous catheter. The paradigm of placing a central line for every patient for whom landmark peripheral techniques fail can result in decreased patient satisfaction, inefficient use of ED nursing and physician resources and the serious complications of central venous access.
Overview of Central and Peripheral IV Access:
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