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Central venous access is an essential technique in medical practice, providing a safe and effective means to administer medications and fluids directly into the patient's central circulation. Its development throughout the history of medicine has revolutionized the way we treat and care for patients, becoming an indispensable part of the modern therapeutic arsenal. The first documented achievement of central venous access occurred in 1929 when Swiss surgeon Werner Forssmann performed a self-intravenous injection, introducing a catheter through a peripheral vein in his own arm and advancing it to the vena cava. This pioneering act was highly controversial at the time but laid the groundwork for the subsequent development of the technique. Central venous access plays a crucial role in contemporary medical practice, enabling safe and effective administration of medications and fluids directly into the patient's central circulation. Its development throughout the history of medicine has revolutionized the way we treat and care for patients, becoming an indispensable part of the modern therapeutic arsenal. Percutaneous central venous access, peripherally inserted central catheter (PICC), and surgically inserted central venous access are valuable modalities of central vascular access, each with its own indications and contraindications. Selection of the appropriate method depends on the patient's clinical needs, the duration of necessary access, and specific patient conditions. Detailed knowledge of insertion techniques, appropriate clinical skills, and collaboration among team members are crucial for the success of central venous access at different sites. Understanding potential complications and prompt intervention in case of adversities are crucial to ensure patient safety and well-being throughout the process. Point-of-care ultrasound plays a crucial role in the insertion and management of central venous access, offering a safe, precise, and effective approach to performing this essential procedure in modern medical practice.
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Copyright (c) 2024 Juliana Borges Oliveira Cano , Brenda Ferrari Vicente, Isabela Mainardes Rehme , Juliana de Lima Lopes , Mayra Américo Hassahida
