Template:Central line contraindications

Contraindications

• Infection over the placement site
• Distortion of landmarks by trauma or congenital anomalies (including c-collar)
• Pathologic conditions, including SVC syndrome
• Current venous thrombosis in target vessel
• Prior vessel injury or procedures
• Morbid obesity
• Uncooperative patient

Central line if coagulopathic

• Preferentially use a compressible site such as the femoral location (avoid the IJ and subclavian if possible, though IJ preferred over subclavian)
• No benefit to giving FFP unless artery is punctured
  • However, consider giving FFP if patient has hemophilia