© Copyright 2026 American Medical Association. All rights reserved.
A non-tunneled centrally inserted central venous catheter (CVC) is a medical device that is inserted into a large vein to provide access to the central venous system. This procedure is specifically indicated for patients younger than 5 years of age. The CVC must terminate in one of the major veins, such as the subclavian, brachiocephalic, or iliac veins, or in the superior or inferior vena cava, or the right atrium. The insertion of a non-tunneled CVC involves placing the catheter directly into a vein, which can be the jugular, subclavian, or femoral vein, or the inferior vena cava. This type of catheter is often used for administering medications, fluids, or for drawing blood, especially in pediatric patients who may require frequent venous access. The procedure typically involves the use of local anesthesia at the site of puncture to minimize discomfort. Imaging guidance may be utilized to ensure proper placement of the catheter tip in the desired central position, enhancing the safety and effectiveness of the procedure.
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