[PDF] Guidelines for insertion and maintenance of central venous access devices in children and young people

Source:
Guidelines and Audit Implementation Network - GAIN
Publisher:
Guidelines and Audit Implementation Network (GAIN)
Publication date:
01 January 2014

Abstract

This guidance aims to:

  • Ensure a child/young person-centred approach to care is achieved for those who require a central venous access device (CVAD) from 4 weeks to the day prior to their 16th birthday
  • Provide best practice guidelines based on all available evidence for the insertion, and maintenance of CVADs to avoid both infective and non-infective complications
  • Provide a standardised approach to documentation in relation to the insertion and maintenance of CVADs
  • Ensure that training for all staff/carers/children/young people involved in the care of a CVAD is based on this approach

Note: The guideline excludes neonates as they require specific management: local guidelines within the neonatal unit should be followed. The guideline recommends the use of alcoholic chlorhexidine as an agent of choice for antiseptic. If the patient is allergic to chlorhexidine gluconate, it is essential that alternative antiseptic should be used.