Choosing the Right Site

Overview

• • Do

  • Think about the future plan for this patient, and whether this site will be needed for any other access

• • Don't

  • Don’t insert a needle through a burn, oedema or infected tissue
  • Don’t insert a CVC into an area with localised deformity, e.g. clavicular or femoral fracture
  • Don’t insert a subclavian CVC on the same side as a pacemaker
  • Don’t insert a subclavian CVC into a coagulopathic patient
  • Avoid a femoral CVC in a patient who is incontinent - especially of faeces