Is a Mediport the same as a central line?
Subcutaneous ports (also known as: mediport, port-a-cath, port, infusaport) – These devices are surgically placed and are totally implanted into the subcutaneous tissue (tissue that is directly under the skin), most often on the chest. They have an attached catheter that is inserted into a major vessel.
Perform catheter site care with chlorhexidine at dressing changes. Change gauze dressing every 2 days, clear dressings every 7 days (and more frequently if soiled, damp, or loose). Compliance with the central line bundles can be measured by simple assessment of completion of each item.
- Central Line Dressing Change. A central line (PICC, port, Hickman or other tunneled catheter) dressing change is a sterile procedure. Mask – Used by the person changing the dressing – usually not the patient.
- Rub for 10 to 15 seconds (unless directed otherwise by the manufacturer's instructions), generating friction by scrubbing in a twisting motion as if you were juicing an orange. Make sure you scrub the top of the hub well, not just the sides.
- The Minnesota CLABSI bundles cover central line insertion, maintenance, and monitoring, and are intended to be used in all patient care areas in acute care hospitals. The CLABSI bundle tool kit is a collection of supporting documents, resources, and tools to assist hospitals in implementing the bundle.
Another type of long-term venous access is a PICC line, or a peripherally-inserted central catheter. Compared to a CVC line, a PICC line is inserted into a vein in the arm or hand. As with the CVC, the catheter is threaded along larger and larger veins until it reaches the superior vena cava.
- According to the CDC, they do not state that it is inappropriate to draw blood from a PICC line. Remove the first 3-5 mL of blood and discard. Obtain specimen. Flush with 10-20 mL of normal saline (clamping the catheter as flushing is completed, if necessary) and promptly dispose of used syringe(s).
- The CVC is surgically implanted into a large vein in the chest or neck and threaded through until it reaches the superior vena cava. Another type of long-term venous access is a PICC line, or a peripherally-inserted central catheter. Compared to a CVC line, a PICC line is inserted into a vein in the arm or hand.
- Perform catheter site care with chlorhexidine at dressing changes. Change gauze dressing every 2 days, clear dressings every 7 days (and more frequently if soiled, damp, or loose). Compliance with the central line bundles can be measured by simple assessment of completion of each item.
A peripherally inserted central catheter, or PICC line (pronounced "pick"), is a central venous catheter inserted into a vein in the arm (via the basilic or cephalic veins) rather than a vein in the neck or chest. The tip is positioned in the superior vena cava.
- Central venous line: A catheter (tube) that is passed through a vein to end up in the thoracic (chest) portion of the vena cava (the large vein returning blood to the heart) or in the right atrium of the heart. A central venous line can be used for the estimation of cardiac output and vascular resistance.
- The central venous pressure (CVP) is the pressure measured in the central veins close to the heart. It indicates mean right atrial pressure and is frequently used as an estimate of right ventricular preload. The CVP does not measure blood volume directly, although it is often used to estimate this.
- A catheter connects the port to a vein. Under the skin, the port has a septum through which drugs can be injected and blood samples can be drawn many times, usually with less discomfort for the patient than a more typical "needle stick". Ports are used mostly to treat hematology and oncology patients.
Updated: 18th September 2018