Mars Healthcare

Wazirabad, Delhi

A Central Venous Catheter is a device placed into any one of the large veins in the neck, chest or groin region for long term venous access. Indications Administration of hyperosmolar solutions including total parenteral nutrition (>900 mOsm/kg). To measure central venous pressure (CVP) Used in absence of any available peripheral venous access Infusion of irritant medication which cannot be given peripherally Haemodialysis / plasmapharesis Temporary pacing Rapid infusion of fluid For placement of pulmonary wedge catheters Drug administration during CPR (Cardio Pulmonary Resuscitation) Catheter material is the best possible material used for a catheter because of the following properties: Soft, kink resistant Offers elasticity of rubber combined with toughness and durability of metal Excellent wear properties and elastic memory Abrasion resistant Polyurethane softens considerably within minutes of insertion in the body. This reduces the risk of vascular trauma. Fat resistant and thromboresistant Lesser adsorption on catheter tubing, thereby minimizing thrombus formation. Flexible tip Clear lumens for good visualization Outstanding resistance to general weather conditions, moisture, fluctuating temperatures -90 to 175 F Surface is impermeable to water Cost effective There are three categories based on the following parameters 1. According to method of insertion Non-tunnelled Tunnelled 2.According to site of insertion Peripherally inserted CVC (PICC) Centrally inserted CVC (CICC) 3.According to number of lumens Single lumen Multiple lumen Centum trio is the triple lumen central venous catheter is the double lumen.The three lumens have different utility, each catering to a specific class of medication , with some overlapping. The proximal lumen is used for the following medicaments: Intravenous medications Crystalloid administration Blood sampling Infusion of blood based products Distal lumen can be used for Colloid administration Blood administration Additional medication Medial lumen is for Exclusive Total parenteral nutrition (TPN) Any other medication if TPN is not anticipated Sizes and technical specificationsSize Catheter Length Flow rate(ml/min) O.D 7.0Fr Triple Lumen Distal 16GProximal 18GMedial 18G 2.5mm 15cm 622727 7.0Fr Triple Lumen Distal 16GProximal 18GMedial 18G 2.5mm 20cm 512524 7.0Fr Triple Lumen Distal 16GProximal 18GMedial 18G 2.5mm 30cm 401819