What is a major contraindication for CVAD placement?

What is a major contraindication for CVAD placement?

• A. Minor skin irritation
• B. Severe active infection at the insertion site
• C. History of previous catheter placement
• D. Advanced age of the patient

Answer: (B)

Severe active infection at the insertion site is a major contraindication for the placement of a Central Venous Access Device (CVAD). When there is an active infection present, especially at or near the site where the CVAD would be inserted, there is a significant risk of introducing pathogens into the bloodstream. This can lead to serious complications such as bloodstream infections, sepsis, and other systemic infections. Infection control is paramount in the management of CVADs, and ensuring a sterile technique during placement is essential to prevent such adverse outcomes. Therefore, if there is clear evidence of an active infection at the proposed insertion site, it is crucial to defer CVAD placement until the infection is adequately managed or resolved. In contrast, minor skin irritation does not typically prevent CVAD placement, as long as the area is adequately cleaned and sanitized. A history of previous catheter placement doesn't necessarily contraindicate a new CVAD, and advanced age alone is not a contraindication; rather, individual health status and comorbidities would guide decision-making in those cases.

Severe active infection at the insertion site is a major contraindication for the placement of a Central Venous Access Device (CVAD). When there is an active infection present, especially at or near the site where the CVAD would be inserted, there is a significant risk of introducing pathogens into the bloodstream. This can lead to serious complications such as bloodstream infections, sepsis, and other systemic infections.

Infection control is paramount in the management of CVADs, and ensuring a sterile technique during placement is essential to prevent such adverse outcomes. Therefore, if there is clear evidence of an active infection at the proposed insertion site, it is crucial to defer CVAD placement until the infection is adequately managed or resolved.

In contrast, minor skin irritation does not typically prevent CVAD placement, as long as the area is adequately cleaned and sanitized. A history of previous catheter placement doesn't necessarily contraindicate a new CVAD, and advanced age alone is not a contraindication; rather, individual health status and comorbidities would guide decision-making in those cases.