ZOLL Thermogard XP IVTM Physician Manual - Manual (Page 28)

ZOLL IVTM™ System Physicians' Manual
600248-001 Rev 3 27
General Risks of Central Line Usage
The IVTM catheter functions as a central line. As with any central line, the risks of
usage relate to the insertion technique, the materials and design of the catheter, and
to the state of the patient. The IVTM System and Cool Line Catheter is indicated for
use in fever reduction, as an adjunct to other antipyretic therapy, in patients with
cerebral infarction and intracerebral hemorrhage who require access to the central
venous circulation and who are intubated and sedated.
Caveats to CVC Placement (CVC-WG)
The following are the general caveats to the use of a central venous catheter
published by the Central Venous Catheter Working Group [6][7][8].
1. Central venous catheterization should be performed only when the potential
benefits appear to outweigh the inherent risks of the procedure.
2. The catheter tip should not be placed in, or allowed to migrate into, the heart.
3. Catheter tip position should be confirmed by radiograph or other imaging
modality and be rechecked periodically.
4. Central venous catheterization must be performed by trained personnel well
versed in anatomical landmarks, safe technique, and potential complications.
Users in training must be closely supervised by qualified personnel to assure
their technical expertise before independent performance of these
procedures. Ongoing monitoring should be undertaken to assure continued
experience.
5. Those placing CVCs should be familiar with the specific equipment used as
well as the proper selection of insertion site and catheter type, size, and
length.
6. Those caring for patients with indwelling central venous catheters should be
well informed of the appropriate care and associated complications of CVCs.
7. Manufacturers should include specific labeling to address potential
complications of CVC use. Users should read all manufacturer’s labels,
instructions, and warnings, as these contain important and useful information
essential for the safe and effective placement of the catheter.
8. Except as may occur in certain emergencies, catheterization should be
performed with full aseptic technique to include hand washing, sterile gloves,
masks, hats, gowns, drapes, and proper use of suitable skin antiseptic.
9. Catheters placed in less-than-sterile fashion should be replaced as soon as
medically feasible.