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Central Venous Catheters

CENTRAL VENOUS CATHETERS Central venous catheters have long been used for haemo-dynamic monitoring during intensive care. More recently they have been adopted for renal dialysis and for the prolonged administration of parenteral nutrition, cytotoxics, and antibiotics in patients with intestinal failure, neoplastic disease and cystic fibrosis respectively. These requirements have led to improved catheter design, and increased experience with catheter placement and management has reduced patient morbidity from avoidable complications. This article reviews the use of central venous catheters with particular reference to parenteral nutrition.