Which central venous access site is preferred in an adult with normal kidney function to reduce the risk for central line-associated bloodstream infection?

Subclavian vein. The subclavian vein is preferred (over the internal jugular vein) in an adult with normal kidney function because it reduces the risk for central line-associated bloodstream infection. However, in a patient with advanced kidney disease or a patient receiving hemodialysis, the subclavian vein should be avoided to reduce the risk for vein stenosis, which may prohibit the use of the subclavian vein for hemodialysis access. The femoral vein should be avoided because it increases the risk for central line-associated bloodstream infection. The external jugular vein is considered a peripheral access site; not a central venous access site.

Which central venous access site is preferred in an adult with no...

Category: Reduction of Risk Potential
Difficulty: 7

Topics: Disease Prevention Routes of Administration

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