Hello...I am looking for any research papers, references and all of your thoughts and unit specific approaches to this issue. We are presently reviewing our procedure for the insertion of a temporary IJ or subclavian in a hemo patient with no access. At present we prophylactically will give 1 gram cefazolin and Ddavp preinsertion to help with post insertion infections and bleeding. However, this particular procedure was developed quite a number of years ago and the use of these particular pre-insertion meds is being reviewed. I am having trouble tracking down any evidence one way or the other regarding their use. Anyone out there with information to support or not these practices, what do you do etc. 0 Likes
