Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

A question for OR nurses

A family member recently had a brain tumor, a benign meningioma, removed and anesthesia place a central line. They obiviously had difficulty starting the line as there were 8 attempts on the R subclavian, 8 attempts on each jugular and it was eventually place on the L sublcavian after what appears to be 8 more sticks. Yes, I myself counted the stick marks, along with the attending Pulmonologist in the SICU. No chest x ray was done on him until after surgery when he went in to cardiac arrest. Surprise....he had bilateral pneumos! My theory is he was so acidotic from inadequate perfusion he arrested. My question is, do you normally get a chest xray after placing a central line in the OR? I am an ER nurse and we get the PCXR immediately after placing the line, what is the norm for the OR? Thank you.

Featured Replies

Chest x-rays are the norm in our facility after central line placement. As to the question of why insert a central line prior to removal of a brain tumor, I have a few thoughts. In our facility each patient undergoing any crani for tumor gets a central line for two reasons. First to rapidly replace blood loss should severe bleeding occur and secondly to allow for aspiration of potential air emboli during surgery.Whether this was the case I am unclear, but it may help to give reason as to why one 18ga peripheral IV was thought to be inadequate.

Kidsrme

Central lines using a Swann-Ganz catheter measure central venous pressure, Pulmonary artery wedge pressure(right side heart function), as well as triple lumen for drips & bolus'.

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.