Central Lines (Central Venous Catheters)enparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_02_2.jpgA central line, or central venous catheter, is much longer than a regular IV. Doctors use them to give medicine, fluids, blood, or nutrition to patients.central line, central venous catheter, lines, central lines, IV, IVs, implanted ports, tunneled central lines, external central lines, PICC lines, peripherally inserted central catheter, chemo, getting chemo, chemotherapy, blood transfusions, blood tests, intravenous, port-a-cath,central line, central lives, IV, intravenous, chemo, port a cath, central venous catheters, line, external lines, medi-port, Broviacs, hickmans, subcutaneous line, caring for a port, caring for a line, IV, intravenous medicine, CD1Pathology, CD1Sedation12/30/201901/06/202001/06/2020Amy W. Anzilotti, MD01/01/2020755fce5f-180c-4322-ad62-11b13ad4b2b3https://kidshealth.org/ws/RadyChildrens/en/parents/central-lines.html/<h3>What Are Central Lines?</h3> <p>A central line (or <strong>central venous catheter</strong>) is like an <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/intravenous-line.html/">intravenous (IV) line</a>. But it is much longer than a regular IV and goes all the way up to a vein near the heart or just inside <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/heart.html/">the heart</a>.</p> <p>A patient can get medicine, fluids, blood, or nutrition through a central line. It also can be used to draw blood.</p> <h3>What Are the Types of Central Lines?</h3> <p>Commonly used central lines include:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/implanted-ports.html/">implanted ports</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cv-catheters.html/">tunneled central lines</a> (also called <strong>external central lines</strong>)</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/picc-lines.html/">PICC (peripherally inserted central catheter) lines</a></li> </ul> <h3>When Are Central Lines Used Instead of Regular IV Lines?</h3> <p>Doctors might use a central line instead of a regular IV line because:</p> <ul class="kh_longline_list"> <li>It can stay in place longer (up to a year or even more).</li> <li>It makes it easier to draw blood.</li> <li>Patients can get large amounts of fluids or medicines (like <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/chemotherapy.html/">chemotherapy</a>) that might not go through regular IVs.</li> </ul> <p>Doctors may place a central line for someone who:</p> <ul> <li>has a serious infection so they can get IV antibiotics for a few weeks</li> <li>has <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/center/cancer-center.html/">cancer</a> so they can get chemotherapy and blood tests through the line</li> <li>needs IV nutrition</li> <li>will need many <a class="kh_anchor">blood transfusions</a></li> </ul> <p><img class="center_this" title="A central line is shown under a child's skin near the heart." src="https://kidshealth.org/EN/images/illustrations/centralLine-415x233-rd2-enIL.png" alt="A central line is shown under a child's skin near the heart." /></p> <h3>Are There Risks to a Central Line?</h3> <p>Most of the time, central lines do not cause any problems. If problems do happen, it is usually because the line gets infected or stops working. Very rarely, a central line can cause a blood clot. Doctors review the risks with families before placing the central line.</p> <h3>How Can Parents Help?</h3> <p>If your child has a central line, you can help care for it to prevent infection and keep it working well. It's normal to feel a little bit nervous caring for the central line at first, but soon you'll feel more comfortable. You'll get supplies to use at home, and a visiting nurse may come to help you when you first get home.</p> <p>Before your child goes home from having the central line placed, ask your health care team:</p> <ul class="kh_longline_list"> <li>how often to change the dressing</li> <li>when and how to flush the line</li> <li>what to do if the line gets blocked or comes out</li> <li>how to give medicines through the central line (if you will be giving medicines at home)</li> <li>if the line has caps, how often to change them</li> <li>which physical activities are OK for your child (most kids need to avoid rough play and contact sports)</li> <li>if any special care is needed to protect the central line while your child bathes</li> <li>what signs of infection to watch for</li> </ul> <p>Tell your child's teachers, school nurse, counselor, and physical education teacher about the central line. They can make sure your child avoids any activities that may damage the line, and help support your child during treatment.</p>
Blood TransfusionsAbout 5 million people a year get blood transfusions in the United States. This article explains why people need them and who donates the blood used.https://kidshealth.org/ws/RadyChildrens/en/teens/transfusions.html/e62b4115-02ec-45e0-bab3-ab6097ba1f4d
ChemotherapyChemotherapy (chemo) is treatment with medicines that stop the growth of cancer cells. Find out how chemo works and what to expect when getting treatment.https://kidshealth.org/ws/RadyChildrens/en/teens/chemo.html/b1fad704-4636-43f9-bafb-fa789cf4ef8c
Helping Kids Deal With Injections and Blood TestsBlood tests and insulin injections can be a challenge for kids with diabetes and their parents. Here are some strategies for coping with these necessary procedures.https://kidshealth.org/ws/RadyChildrens/en/parents/injections-tests.html/bbbd4d7c-63f1-4329-8e1f-9dbb2be678c0
Implanted PortsAn implanted port is a type of central line that goes up to a vein near the heart or just inside the heart. A child can get medicine, fluids, blood, or nutrition through one.https://kidshealth.org/ws/RadyChildrens/en/parents/implanted-ports.html/e3c3f7a9-5058-4c70-8186-221b079809c6
Intravenous Line (IV)An intravenous line (IV) is a soft, flexible tube placed inside a vein, usually in the hand or arm. Doctors use them to give a person medicine or fluids.https://kidshealth.org/ws/RadyChildrens/en/parents/intravenous-line.html/88514620-5c4e-4557-ae97-3fafa083adfa
Peripherally Inserted Central Catheter (PICC Line) A PICC line is like an IV line, but is much longer and can stay in place for longer periods.https://kidshealth.org/ws/RadyChildrens/en/parents/picc-lines.html/cc250ea3-f29c-4fec-b724-3b7c03a9b3a9
Tunneled Central LinesThese surgically placed tubes let kids get blood drawn and receive intravenous (IV) medicines and fluids without repeated needle sticks.https://kidshealth.org/ws/RadyChildrens/en/parents/cv-catheters.html/93bc55aa-2ad3-4f9f-a3fd-68ff948e767c
What Is Interventional Radiology (IR)?Interventional radiology (IR) is a way for doctors to treat problems like vascular anomalies and tumors.https://kidshealth.org/ws/RadyChildrens/en/parents/intvnl-radiology.html/fd207990-831e-4754-b2b8-1cc6d5cd7829
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-intensiveCarekh:clinicalDesignation-oncologykh:genre-articlekh:primaryClinicalDesignation-oncologyMedical Procedureshttps://kidshealth.org/ws/RadyChildrens/en/parents/system/med-procedures/fa1ed819-e226-441d-aae1-0dfd71b557c4Cancer Treatment & Preventionhttps://kidshealth.org/ws/RadyChildrens/en/parents/cancer-center/treatment/9b82611a-8da8-4937-991c-407024862b68https://kidshealth.org/EN/images/illustrations/centralLine-415x233-rd2-enIL.png