Critical Care Scenarios

TIRBO #34: What makes it a central line?

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May 3, 2023
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INSIGHT

Central vs Peripheral Line Defined

  • The distinction between central and peripheral lines is largely arbitrary but important clinically.
  • Central lines end in larger central veins while peripheral lines do not, affecting infection risk.
INSIGHT

Infectious Risk Drives Distinction

  • Central lines have higher infectious risk than peripheral lines, causing more morbidity and mortality.
  • This difference is fundamental to why the distinction is emphasized in clinical practice.
INSIGHT

Central Line Boundaries Are A Continuum

  • The boundary between central and peripheral lines is more of a continuum than a strict cut-off.
  • Factors like catheter length and tip location influence infection risk but the transition is gradual.
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