Step-by-step clinical procedure for accessing an implanted port (port-a-cath): site assessment, non-coring needle selection, sterile technique, blood return confirmation, flushing, dressing, and deaccessing.
Complete Groshong catheter guide: the pressure-sensitive three-way valve, why it is locked with saline only, indications, care and maintenance, complications, and how it compares to Hickman and Broviac catheters.
Step-by-step clinical procedure for removing a central venous catheter and tunneled catheters: Trendelenburg positioning, air-embolism prevention, Valsalva, hemostasis, tip culture, and site-specific considerations.
Complete Hickman catheter guide: what it is, indications, care and maintenance (exit site care, heparin flushing), complications and their management, removal, and how to take care of a Hickman catheter at home.
Complete Broviac catheter guide: what it is, pediatric and neonatal indications, care and maintenance (exit site care, heparin flushing), complications, and how to take care of a Broviac catheter at home.
Evidence-based guideline for selection, insertion, maintenance, and complication management of central venous access devices in oncology patients, synthesized from multiple professional society recommendations.
Pediatric oncology, elderly patients, thrombocytopenic and anticoagulated patients, device removal criteria and procedures, patient and caregiver education, and quality surveillance for CVADs in oncology.
CLABSI prevention and treatment, catheter-associated thrombosis, occlusion management, extravasation, catheter malposition, pinch-off syndrome, and catheter damage in oncology CVAD patients.
Flushing and locking protocols, dressing change procedures, needleless connector management, port access and deaccess procedures, blood sampling, and patency assessment for CVADs in oncology patients.
Insertion site selection, ultrasound-guided placement, tip confirmation, skin antisepsis, dressing and securement, and site care protocols for central venous access devices in oncology patients.
CVAD types and oncology-specific indications, patient assessment framework, vein selection in cancer patients, device selection algorithms, and special population considerations for central venous access in oncology.
Clinical guide to tunneled central venous catheters: Hickman, Broviac, and Groshong types, indications, care and maintenance, flushing protocols, complication management, and comparison with implanted ports.
Clinical decision guide comparing PICC, midline catheter, and non-tunneled CVC: indications, contraindications, osmolarity limits, dwell time, CLABSI risk, and evidence-based selection criteria and MAGIC.
Complete clinical guide to non-tunneled central venous catheters: site selection (IJ vs subclavian vs femoral), ultrasound-guided insertion, complications (pneumothorax, hemothorax, arterial injury), CLABSI prevention, and removal.
Complete clinical guide to implanted vascular access ports: port anatomy, Huber needle access technique, ANTT flushing and locking protocol, power-injectable ports, port complications, and deaccess procedure.
CVAD tip location standards per CEVAD 2020 consensus: cavoatrial junction target, radiographic landmarks, device-specific tip positions, tip confirmation methods (ECG, CXR, fluoroscopy), and malposition classification.