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Central or Femoral Line Procedure Step By Step || Dr Subodh SKP Central Line or Femoral Line Procedure in ICU or Emergency. Dr Subodh SKP Femoral Line Catheterization Procedure | Central Line Placement | Central Venous Line Procedure| **************************************************** Hi, my self Dr Subodh Kumar in this video i will show you how to place central venous catheterization in femoral vein. In this video i will show you step by step central line insertion, femoral line insertion procedure in ICU or Emergency. **Pre-procedure ** Consent patient if conscious otherwise document why the procedure is in the patients best interests Consent should include: Infection, bleeding (arterial puncture, haematoma, haemothorax), pain, failure, damage to surrounding structres (including pneumothorax), thrombosis. Set up sterile trolley **Procedure for central line (central venous catheter) insertion** Wash hands and don sterile gown and gloves Clean the area and apply sterile field. Make sure to have some spare gauze swabs ready. Confirm anatomy insert lignocaine cutaneously, subcutaneously Whilst lignocaine has time to work flush all lumens of the line and then clamp all lumens except the Seldinger port Ensure caps are available for the lumens take Seldinger needle attached to syringe and insert into the femoral vein When blood is freely aspirated remove syringe and immediately inset Seldinger wire. This should pass easily Keeping hold of the inserted wire, remove the needle. Ensure the wire stays in the vein as you do this Use scalpel to make an small incision in the skin (approx 3mm). This should be done cutting away from the wire so as not to damage it Pass the dilator over the wire and gently but firmly dilate a tract through to the internal jugular. At this stage there may be some bleeding so ensure to have some swabs ready Remove the dilator and pass the central line over the Seldinger wire. Do not advance the line until you have hold of the end of the wire Once the central line is in place, remove the wire Aspirate and flush all lumens and re clamp and apply lumen caps Suture the line to allow 4 points of fixation Dress with a clear dressing so the insertion point can be clearly seen ***************************************************** Your Queries:- central line insertion central line insertion uses central line insertion site central line insertion steps central line catheter central line insertion ppt central line insertion vein central line kit price central line catheter size central line insertion complications central line kaise dalte hain central line schedule central line set up central line near me central line problems how to do a central line central line kaise lagaya jata hai central line kaise lagate hai central line kaise lagaen central line kaise lagaye femoral line procedure note femoral line placement femoral line insertion femoral line insertion procedure femoral line procedure femoral line catheter femoral line size femoral line removal protocol femoral line vs central line femoral line placement confirmation icu Emergency ************************************************************** [email protected] ************************************************************** #centralLine, #femoraLine, #icu #abg #arterial #emergency

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