CENTRAL VENOUS LINE

Central Line placement was necessary in this patient due to:hypotension

Informed Consent was obtained: Yes

The R IJ area was prepped in sterile fashion with

Betadine prep, sterile equipment including triple protection (mask,

gown and gloves). Time out was preformed prior to the procedure.

Ultrasound Guidance was used.

Needle was used to cannulate vein. Dark non-pulsatile blood was

noted. At all times, precautions were taken to avoid introduction of

air into the vein. The wire passed easily, an 11 blade was used to

incise the subcutaneous tissue and the central line was passed over

the guide wire easily using Seldinger technique. The wire was then

removed intact and complete, blood was drawn back from all ports

and then ports were flushed with sterile saline.

Biofilm and Tegaderm dressing applied. The patient tolerated the

procedure well and there were no complications.

Post Procedural CXR was ordered.