Читать книгу Emergency Management of the Hi-Tech Patient in Acute and Critical Care - Группа авторов - Страница 77

The first tunneled CVC was introduced by Broviac in 1973, and since then, the variety of indwelling CVCs on the market has increased dramatically as their use has become more commonplace. As the list of available CVCs is extensive, practitioners should make a particular effort to become familiar with the devices most commonly encountered in their practice setting. In general, devices are referred to either by their trade name (e.g. Broviac©, Hickman©) or by their type (e.g. implanted port, peripherally inserted central catheter [PICC]). They can be externalized, as is the case with the Broviac, Hickman, and PICC devices, or they can be fully implanted – requiring needle access through intact skin – as is the case with implanted ports. Both externalized and implanted CVCs can have multiple lumens, and knowledge of a particular CVC's lumen count is often important when managing the device's complications.