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mleeper
Femoral Line Malposition

Can anyone provide identified complications of CVCs placed Femorally. According to 2021 INS Guidelines, placement withith the common iliac veins is considered a malpositioned line. What complications are specific to tip placement within the common iliac veins? 

 

Thank you,

Michell Leeper, BSN, RN, VA-BC

lynncrni
Thrombosis - do a lit search

Thrombosis - do a lit search and many articles come up. This standard is based on the medical studies listed which identify the iliac vein as a malposition because it is not a central vein. To be a central vein location from the lower extremity, the tip is in the IVC above the level of the diaphragm. 

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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