How to place a Central line: step by step tutorial

A central venous catheter, also known as a central line, is a catheter placed into a large vein. Catheters can be placed in veins in the neck, chest, groin, or through veins in the arms. Indication: 1) Central venous access for infusion of vasoactive drugs, TPN, high dose KCl, etc. 2) Hemorrhagic disorder where large volumes blood/blood products needed 3)Measurement of central venous pressure 4) Need for frequent blood draws where peripheral access limited. 5) Lack of peripheral venous access Complications: The risk of complications of central line placement varies with the experience of the operator and the conditions (emergency vs. elective) under which the line is placed. Risks associated with central venous catheterization include infectious, mechanical, and thrombotic complications. A chest radiograph should be obtained to confirm placement and to assess for complications. Mechanical complications include arterial puncture, hematoma, pneumothorax, hemothorax, arrhythmia, and improper locat