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Central Line - Seldinger Technique

Views: 10538 - Comments: 13

Meredith Rose, CVT, VTS(ECC), talks Joanie Abrams, CVT, VTS(ECC), through her first central line placement. Patient prep, placement, confirmation, and care are discussed.

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Meredith Rose's picture
Meredith Rose

CVT VTS(ECC)

Enrolled: 08/2011

Joanie Abrams's picture
Joanie Abrams

CVT VTS(ECC)

Enrolled: 08/2011

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Comments

Katharine Haughton's picture

Great video! Very clear and good explanations behind the reasoning of each aspect of placement and catheter care.

Kathleen Depaolo's picture

Meredith did a great job explaining this process. Very easy to understand, a great video I will use today to show my students!

Nicole Bernardi's picture

Wow, great video!!! Now we just need a video this clear and detailed about IO catheter placement! :)

Mallory Leake's picture

This was a very helpful video. It made the process seem a little less daunting.

Cesar Abasolo's picture

Great video! I actually performed this exact technique shortly after watching this video. I Manage and Supervise the ER Dept. at a Animal Specialty Hospital in San Diego CA, and all these training videos have been very beneficial to my staff.

Aria Guarino's picture

Hi Meredith! Thanks for the informative video. If we do not have Tregaderm at our clinic, should we use a Telfa pad instead?

Joanie Abrams's picture

Hi Aria! If you don't have Tegaderm a Telfa pad is a fine replacement. You would just follow the same bandaging advice and assess the insertion site, replacing the Telfa, once a day.

Jessica Parry's picture

This was really helpful. 2 questions- do you have any tips for measuring the length of the catheter prior to placement to help determine what catheter you are going to open? Do you measure to the 2nd intercostal space? Also, what are your thoughts about monitoring ECG during placement to look for arrhythmias?

Chris Green's picture

Hi Jessica,

Great question! After speaking with various CVTs here at DoveLewis, everyone agreed that the size and length of the catheter are almost always determined by the number of ports desired or the lumen size needed for the patient. When measuring the best location is to measure to the caudal edge of the triceps muscle. This information can be found in the Silverstein / Hopper - Small Animal Critical Care Medicine book. Lastly, when it comes to monitoring, I'm always in favor of it! It really helps to have an ECG when you are placing it to know if you have inserted too far and to watch for arrhythmias as well. Let me know if you have any other questions, I'm glad the video was helpful!