Central Line
This article defines Central Lines (CLs) to make sure we use the same definition in
- Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)
- T17 - Central venous catheter (TISS Item)
- CVC placement, any location
- (legacy) T - Central Venous Catheter at 2300 (TISS Item)
Definition
- A CL is a #vascular access catheter that passes through or has a tip ending in one of the #great vessels.
- It may be used for infusion, blood sampling, or hemodynamic monitoring.
- It can be temporary, or long-term/permanent.
great vessel
- aorta
- pulmonary artery
- superior vena cava
- inferior vena cava
- brachiocephalic veins
- internal jugular veins
- subclavian veins
- external iliac veins
- common iliac veins
- femoral veins
vascular access catheter
- subclavian vein catheter
- internal jugular vein catheter
- PICC (Peripherally Inserted Central Catheter)
- Swan-Ganz (pulmonary artery) catheter -- note placement of this has its own code Swan-Ganz (Pulmonary Artery Flotation) Catheter placement
- Broviac
- Groshong
- Quinton
- Hickman
- ASHE catheter
- hemodialysis catheter (e.g. Vascath)
- implanted ports (e.g. Port-a-cath)
- central line introducer -- i.e. even if it does not have a central line in it
- introducer for a temporary pacing wire
- tunnelled line insertions in Interventional Radiology
Not counted as Central Lines:
- arterial catheters inserted into an artery
- ECMO - (ECMO, VV, ECMO, VA)
- IABP
- VAD; IMPELLA
- A-V fistula
- regular peripheral IVs
- Midline PICC -- since these do not end in a central vein, AND they have a much lower infection rate (ref:DG Maki, DM Kluger and CJ Crnich. The risk of bloodstream infection in adults with different intravascular devices: a systematic review of 200 published prospective studies. Mayo Clinic Proceedings 81(9):1159-1171, 2006)
- any intravascular device that does not have a lumen (e.g. pacemaker wires)
Question from Central Line Associated Blood-Stream Infection (CLA-BSI) rate
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- Old definition from Central Line Associated Blood-Stream Infection (CLA-BSI) rate
- A central lines (CL) is a central venous catheters (CVC) that terminates at or close to the heart or one of the great vessels. Great vessels include the pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic, internal jugular, subclavian, external iliac and the common femoral veins.
- Could we link to Central Line for details instead so that if we change any they will remain consistent? }}
- A central lines (CL) is a central venous catheters (CVC) that terminates at or close to the heart or one of the great vessels. Great vessels include the pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic, internal jugular, subclavian, external iliac and the common femoral veins.
Legacy
We also used to code QA Infection CLI.