How can you reduce the risk of catheter migration with a CVAD?

How can you reduce the risk of catheter migration with a CVAD?

• A. Use larger catheters
• B. Secure the catheter adequately
• C. Allow free movement of the line
• D. Frequent rotation of the catheter

Answer: (B)

Securing the catheter adequately is essential for reducing the risk of catheter migration in a Central Venous Access Device (CVAD). When the catheter is properly secured, it is less likely to shift from its intended position, which can occur due to patient movement, manipulations during care, or daily activities. Proper securing techniques can involve the use of adhesive dressings, securement devices, or sutures, depending on the type of CVAD and the patient’s needs. Inadequate securing can lead to complications such as dislodgement, malposition, or kinking, which can increase the risk of thrombosis or infection. Maintaining the catheter in a stable position ensures that it remains effective for its intended use, such as administration of medications or fluids, while minimizing the likelihood of adverse effects associated with catheter migration. Other methods, such as using larger catheters, allowing free movement of the line, or frequent rotation, do not directly address the structural integrity and positioning of the catheter, making adequate securing the most effective practice for preventing migration.

Securing the catheter adequately is essential for reducing the risk of catheter migration in a Central Venous Access Device (CVAD). When the catheter is properly secured, it is less likely to shift from its intended position, which can occur due to patient movement, manipulations during care, or daily activities. Proper securing techniques can involve the use of adhesive dressings, securement devices, or sutures, depending on the type of CVAD and the patient’s needs.

Inadequate securing can lead to complications such as dislodgement, malposition, or kinking, which can increase the risk of thrombosis or infection. Maintaining the catheter in a stable position ensures that it remains effective for its intended use, such as administration of medications or fluids, while minimizing the likelihood of adverse effects associated with catheter migration.

Other methods, such as using larger catheters, allowing free movement of the line, or frequent rotation, do not directly address the structural integrity and positioning of the catheter, making adequate securing the most effective practice for preventing migration.