Securing vascular access in geriatric patients

Czech version

Authors: J. Charvát
Published in: Geriatrie a Gerontologie 2017, 6, č. 4: 176-178
Category: Review Article

Overview

In geriatric patients it is often necessary to secure long term vascular access for intravenous drugs and infusions. A peripheral cannula or a non-tunnelled central venous catheter can however only be inserted into a vein for a relatively short time. In the last 10-15 years, catheters inserted into the middle part of the arm has been used – midline catheter and peripherally inserted central catheter (PICC). In case of midline catheter, its distal end is in the axial vein, which makes it a peripheral access, while in the case of PICC, its distal end is in the cavoatrial junction, which makes it a central access. Both these types of catheters can be used on a long-term basis, on the scale of weeks to months. In cases when these forms of access cannot be used, tunnelled central venous catheter can be another option to use.

Keywords:
Midline catheter – PICC – venous access – geriatric patient

Sources

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Labels

Geriatrics General practitioner for adults Orthopaedic prosthetics

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Article was published in

Geriatrics and Gerontology

2017 Issue 4