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- Hickman_line abstract "A Hickman line is a central venous catheter most often used for the administration of chemotherapy or other medications, as well as for the withdrawal of blood for analysis. Some types are used mainly for the purpose of apheresis or dialysis. Hickman lines may remain in place for extended periods and are used when long-term intravenous access is required. They are done under sedation or a general anesthetic by a radiologist or surgeon. It involves two incisions, one at the jugular vein or another nearby vein or groove, and one on the chest wall. At the former incision site (known as the "entrance" site), a tunnel is created from there through to the latter incision site (known as the "exit" site), and the catheter is pushed through this tunnel until it "exits" the latter incision site. The exit site is where the lumens are seen as coming out of the chest wall. The catheter at the entrance site area is then inserted back through the entrance site and advanced into the superior vena cava, preferably near the junction of it and the right atrium of the heart. The entrance site is sutured. The catheter at the exit site is secured by means of a "cuff" just under the skin at the exit site, and the lumens are held down otherwise by a sterile gauze or dressing centered on the exit site, which also serves the purpose of preventing potential contamination at the exit site. Throughout the procedure, ultrasound and X-rays are used to ascertain the positioning of the catheter.Long-term venous catheters became available in 1968, and the design was improved by Dr. John W. Broviac (b.1942),a Nephrologist based in East Lansing ,et al. in 1973. Hickman et al., after whom the system is named, further modified the principles in 1979 with subcutaneous tunneling and a Dacron cuff that formed an infection barrier. Dr Robert O. Hickman (b.1927) was a pediatric nephrologist at the Seattle Children's Hospital.Potential complications of placement of such a line include hemorrhage and pneumothorax during insertion and thrombosis or infection at later stages. Patients with a Hickman line therefore require regular flushes of the catheter with heparin, in order to prevent the line becoming blocked by blood clots. Preventing contamination at the exit site and ensuring that the lumens are flushed frequently is especially important for oncology patients, as they may have become immunocompromised as a result of cytotoxic chemotherapy. Pyrexia (fever) is one of the symptoms of contamination. This symptom and others, including the observance of swelling or bleeding at the exit site, indicate the patient should seek medical attention as soon as possible.".
- Hickman_line thumbnail Hickman_line.png?width=300.
- Hickman_line wikiPageExternalLink wm2.wmv.
- Hickman_line wikiPageID "1551874".
- Hickman_line wikiPageLength "4221".
- Hickman_line wikiPageOutDegree "40".
- Hickman_line wikiPageRevisionID "646905966".
- Hickman_line wikiPageWikiLink Apheresis.
- Hickman_line wikiPageWikiLink Asepsis.
- Hickman_line wikiPageWikiLink Bleeding.
- Hickman_line wikiPageWikiLink Blood_clots.
- Hickman_line wikiPageWikiLink Broviac_catheter.
- Hickman_line wikiPageWikiLink Category:Catheters.
- Hickman_line wikiPageWikiLink Central_venous_catheter.
- Hickman_line wikiPageWikiLink Chemotherapy.
- Hickman_line wikiPageWikiLink Cytotoxic.
- Hickman_line wikiPageWikiLink Cytotoxicity.
- Hickman_line wikiPageWikiLink Dacron.
- Hickman_line wikiPageWikiLink Dialysis.
- Hickman_line wikiPageWikiLink East_Lansing.
- Hickman_line wikiPageWikiLink East_Lansing,_Michigan.
- Hickman_line wikiPageWikiLink Fever.
- Hickman_line wikiPageWikiLink Gauze.
- Hickman_line wikiPageWikiLink General_anaesthetic.
- Hickman_line wikiPageWikiLink General_anesthetic.
- Hickman_line wikiPageWikiLink Groshong_line.
- Hickman_line wikiPageWikiLink Hemorrhage.
- Hickman_line wikiPageWikiLink Heparin.
- Hickman_line wikiPageWikiLink Immunocompromised.
- Hickman_line wikiPageWikiLink Immunodeficiency.
- Hickman_line wikiPageWikiLink Infection.
- Hickman_line wikiPageWikiLink Jugular_vein.
- Hickman_line wikiPageWikiLink Medical_ultrasonography.
- Hickman_line wikiPageWikiLink Medical_ultrasound.
- Hickman_line wikiPageWikiLink Nephrologist.
- Hickman_line wikiPageWikiLink Nephrology.
- Hickman_line wikiPageWikiLink Oncology.
- Hickman_line wikiPageWikiLink PICC_line.
- Hickman_line wikiPageWikiLink Pediatrics.
- Hickman_line wikiPageWikiLink Peripherally_inserted_central_catheter.
- Hickman_line wikiPageWikiLink Pneumothorax.
- Hickman_line wikiPageWikiLink Polyethylene_terephthalate.
- Hickman_line wikiPageWikiLink Port_(medical).
- Hickman_line wikiPageWikiLink Pyrexia.
- Hickman_line wikiPageWikiLink Radiologist.
- Hickman_line wikiPageWikiLink Radiology.
- Hickman_line wikiPageWikiLink Seattle_Childrens.
- Hickman_line wikiPageWikiLink Seattle_Childrens_Hospital.
- Hickman_line wikiPageWikiLink Sedation.
- Hickman_line wikiPageWikiLink Subcutaneous_tissue.
- Hickman_line wikiPageWikiLink Superior_vena_cava.
- Hickman_line wikiPageWikiLink Surgery.
- Hickman_line wikiPageWikiLink Thrombosis.
- Hickman_line wikiPageWikiLink Thrombus.
- Hickman_line wikiPageWikiLink File:Hickman_line.png.
- Hickman_line wikiPageWikiLink File:Hickman_line_catheter_with_2_lumens.jpg.
- Hickman_line wikiPageWikiLinkText "Hickman catheters".
- Hickman_line wikiPageWikiLinkText "Hickman line".
- Hickman_line wikiPageWikiLinkText "hickman line".
- Hickman_line hasPhotoCollection Hickman_line.
- Hickman_line wikiPageUsesTemplate Template:Cite_journal.
- Hickman_line subject Category:Catheters.
- Hickman_line hypernym Catheter.
- Hickman_line comment "A Hickman line is a central venous catheter most often used for the administration of chemotherapy or other medications, as well as for the withdrawal of blood for analysis. Some types are used mainly for the purpose of apheresis or dialysis. Hickman lines may remain in place for extended periods and are used when long-term intravenous access is required. They are done under sedation or a general anesthetic by a radiologist or surgeon.".
- Hickman_line label "Hickman line".
- Hickman_line sameAs Cathéter_de_Hickman.
- Hickman_line sameAs m.059rwr.
- Hickman_line sameAs Q17143998.
- Hickman_line sameAs Q17143998.
- Hickman_line wasDerivedFrom Hickman_line?oldid=646905966.
- Hickman_line depiction Hickman_line.png.
- Hickman_line isPrimaryTopicOf Hickman_line.