Intravascular Devices in the ICU

Abstract

The subclavian approach is preferred for placement of central venous catheters (CVCs).Real-time ultrasound may reduce the mechanical complications associated with CVC insertion.Chlorhexidine-based skin antiseptic solutions reduce the incidence of catheter-related bloodstream infections as compared to povidone-iodine.Almost 50% of hospital-acquired bloodstream infections are caused by staphylococcal species.CVCs should not be replaced nor exchanged over a guide wire on a routine basis.