What is a Groshong catheter used for?
Groshong central line indwelling catheters are extensively used in gynecologic oncology patients for administration of chemotherapy, intravenous fluids, and pain medications. They are easy to maintain and have a good safety record.
Where is a Groshong catheter placed?
The catheter is placed into one of the large central veins so the tip lies in the superior vena cava above the right atrium. It is tunnelled sub- cutaneously for several inches to the desired exit site.
What is the difference between a Hickman and Groshong catheter?
Groshong® catheters are a type of central venous catheter, which are placed under direct fluoroscopic visualization in an angiography suite. They can be tunnelled or non-tunnelled and are similar to a Hickman catheter, with the main difference being that Groshong catheters have a three-way valve at its tip.
How long can a Groshong catheter stay in?
The median duration of use was 191 days. There were no cases of pneumothorax or catheter occlusion.
Does a Groshong need heparin?
When maintained in accordance with these instructions, the GROSHONG® Central Catheter does not require the use of heparin to flush the catheter lumens. However, use of heparin will not adversely affect the catheter and may be necessary based on patient status or use of alternate flushing and locking techniques.
How does a Groshong catheter work?
What is a Groshong® Catheter? When positive pressure is applied, the valve opens outward allowing fluid to enter the bloodstream. When negative pressure (suction) is applied (usually by a syringe), the valve opens inward, allowing blood to flow through the catheter into the syringe.
How do you remove a Groshong catheter?
The procedure is performed with IV sedation or general anesthesia. Local numbing medicine will be injected into the skin around the catheter exit site (usually on the chest). The tissue will be loosened and the catheter removed.
What is a Hohn catheter?
Hohn® catheters are intended for central venous access and for use in patients that lack adequate peripheral venous access. They are designed for administering I.V. fluids, blood products, drugs and parenteral nutrition solutions, as well as blood withdrawl.
How do you flush a Groshong catheter?
Flush the catheter with at least 10 ml of sterile saline. Do not allow the tip of the syringe plunger to bottom out against the base of the syringe. This helps prevent a vacuum which can pull a small amount of blood into tip of catheter.
How long do Hickman lines stay in?
The line can stay in place for weeks or months. The centre of the CVC is called the lumen and you may have between 1 and 3 lumens. A specially trained nurse called a Clinical Nurse Specialist (CNS) will insert the line at your bedside.