how many access devices

[nurmac]

Can someone tell me how many idfferent types of vascular access devices there are? peripheral, PICC, groshong etc.....

[PICC ACE]

OK,I'll give this a shot....

Subcutaneous: Insulin and pain med pumps,clysis,etc.

Venous:1. Good ol' peripheral IV's in dozens of shapes,sizes and colors.

2. Midline catheter.

3. PICC. Again,dozens of shapes,colors and sizes.

4. CVC. Ideally centrally-placed,anyhow. Insertion site could be neck,chest,femoral or other places depending on the central vein used and age/size of pt. Could be tunnelled or not.

5. Special use lines :SwanGanz,hemodialysis,aquapheresis,umbilical,sheaths for procedures like heart cath or TPA'ing a vessel.

Intraosseous: Not too common,but IO route is used for Peds and in some rare adult cases.

Arterial:Usually for monitoring but there are lines used for chemo that is to go into the hepatic artery. Also umbilical here,too.

Implanted devices: Central ports and arm ports.

Hemodialysis shunt: Surgically-implanted alternative for HD.

That's all I can think of for now--sure I missed a few.