Reply To: Central Line Placement Confirmation

  • Mary Lynn Rae

    July 7, 2014 at 4:05 pm

    Our PICC lines are placed in IR so they do the chest x-ray and confirmation right on the spot.  In the OR for ports and broviacs, the chest x-ray is done in the OR post placement.

    Mary Lynn Rae
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States

    Original Message:
    Sent: 07-07-2014 04:01 PM
    From: Kimberly Duback
    Subject: Central Line Placement Confirmation

    What are your institution’s practices for confirming continued correct placement of central lines?  If a patient has a PICC line, how often do you perform chest x-rays to confirm placement in both the inpatient and outpatient setting?  Do you utilize other techniques for ensuring appropriate placement (i.e. measuring the external catheter length) and if so, what is completed and how frequently is it performed?

    What are your practices for confirming continued correct placement of other types of central lines including broviacs/tunneled lines or ports?  Following the initial placement of the line do you have a procedure in place that routinely confirms that the line has not migrated?

    Kimberly Duback
    Advocate Children’s Hospital- Oak Lawn
    Oak Lawn, IL
    United States