Nutrishare Neighborhood: August 2019: Navigating Central Lines

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This talk is all about navigating central lines with Gail M. Egan, MS, ANP. The call is hosted by Nutrishare consumer advocate Linda Gravenstein. **Shownotes ** Introduction 2:09 - Introduction: Dale is your friendly neighborhood plumber when it comes to vascular access 2:40 - What is a central line or what does a central access mean? 4:05 - Why does tip location matter? 4:45 - Using X-Ray to steer a catheter into position 6:29 - What does it mean that a drug can be caustic to a vein? 7:30 - Cuffs and cuff adherence 10:06 - Heperin 11:44 - About ethanol lock 12:15 - Keep the line you have as long as possible... 13:15 - Any advice to prevent fibrin sheets from forming? 17:00 - Issues surrounding pulling the line for a fever or a site infection 19:35 - Groshong catheter vs. Hickman catheter; polyurethane vs. silicone 24:25 - What is a fibrin sheath? 26:00 - What about people who get told that they have no access? 27:45 - How can an access can be tunneled around from the back? 30:10 - They want to put my line in my jugular. Is this common? 33:20 - How long for a vein to anchor itself around a line?