How to find out the best medical tubing manufacturers?

29 November 21

The central venous access catheter is a vascular access catheter whose end position in a vena cava (upper or lower). This is a much more invasive procedure than peripheral access and requires greater care and training from medical tubing manufacturers.

Central venous access indicate in several situations, such as:

• Rapid volume replacement in shocked patients
• Need for long-term parenteral nutrition
• Difficulty in peripheral access
• Hemodialysis
• Administration of medications such as vasoactive drugs, irritant or hyperosmolar solutions

It is important to take into account that there are some contraindications to performing this procedure in ant coagulated patients or patients who would not tolerate the occurrence of a pneumothorax during the performance of central venous access.

Medical tubing through the jugular vein

Puncture of the internal jugular vein for placement of central tubing prepared by medical tubing manufacturers can perform in two directions:

• Firstly, via the posterior route
• Secondly, via the central route

The posterior approach obtains by bisector puncture of two imaginary lines, one made over the sternal insertion of the sternocleidomastoid muscle and the other over the clavicle.

Central venous access through the subclavian vein

Subclavian vein puncture is the second method of choice for placement of central venous access. Thus, it comes right after the internal jugular vein, as shown in the image. The procedure can go through by two methods:

• Firstly, infraclavicular
• Secondly, supraclavicular

The infraclavicular form performs by introducing the needle at a distance of 1 to 2 cm below the clavicle and at a point slightly medial in relation to the midclavicular line. The needle insert parallel to the chest wall and very close to the lower edge of the clavicle, leading to the jugular notch.

What is supraclavicular method?

The supraclavicular method performs by introducing a needle into the supraclavicular fossa, approximately 1 cm from the clavicular insertion of the sternocleidomastoid muscle and 1 cm posterior to the clavicle. The needle should orient at 45º from the sagittal plane and aimed at the contralateral nipple.

Medical tubing manufacturers provide venous access through the femoral vein

This method is the last choice of how to place a central venous access by medical tubing manufacturers. It should only use when the other routes are contraindicated, for example, when there is the presence of infected wounds on the other access points.

There is only one way to do this procedure. The physician needs to identify the femoral pulse and insert the needle medially to that pulse, at a 45° angle toward the patient’s head.

Care with central venous access by medical tubing manufacturers

A major complication of central venous access, with fatal consequences, is sepsis. Therefore, care with central venous catheter implantation is essential. To avoid this condition, professionals must:

• Firstly, properly sanitize their hands
• Secondly, wear sterile gloves
• Thirdly, disinfect the sitewhere the venipuncture will perform

In addition to sepsis, there are two other problems that can occur during placement of central venous access:

• At first place, pneumothorax
• At number two, accidental arterial puncture

Both situations can avoid with detailed knowledge of the anatomy of the region to puncture.

What will be result of puncture of arteries?

The pneumothorax is the air into the pleural space, with great potential to aggravate the patient’s condition. On the other hand, accidental puncture of arteries, such as the carotid and femoral arteries, can lead to severe hemorrhage and patient death.

Throughout the manipulation and maintenance of the inserted tube by medical tubing manufacturers, there must be strict asepsis of the device, including the connectors. It is important to remember that the catheter can only use after verifying that its placement is correct and testing for venous return. Control is done through radiography exams.

How to use medical tube?

If the catheter has multiple routes, the thinnest one must keep for continuous infusion and the thickest one for blood collection and infusion of drugs and blood products. If a route use for nutrition, it must use exclusively for that purpose.

The dressing must thoroughly clean with 5% alcoholic chlorhexidine and covered with a transparent film. In addition, it must change whenever it is damp, loose or dirty.

What is the required material for medical tube?

The materials needed to pass medical tube prepared by medical tubing manufacturers are as follows:

• Catheter over needle or needled catheter (this only for blood collection);
• procedure gloves;
• Cotton;
• 70% alcohol%;
• Sterile adhesive coating;
• Extender with 0.9% saline solution.

As for the passage of central venous access, a wider range of materials is needed, such as:

• Needle for puncture;
• Catheter;
• Dilator;
• Guide wire;
• Syringe;
• Suture thread;
• Needle holder;
• Scissors;

Medical tubing: pre- and post-examination care

As it is an invasive procedure, cardiac medical tubing requires some care before and after its performance.

Required care before medical tubing

For elective patients, at the time of booking, some information is collected. Among them, if you have already had any type of allergy when performing exams with contrast before.

The use of anticoagulant and ant diabetic drugs should discontinue or doses adjusted. Therefore, it is important to talk to the doctor who ordered the test to ensure that this adjustment will not be risky.

In addition, patients are instructed to fast for 4 hours before medical tubing made by medical tubing manufacturers. Exams performed in the last six months must take on the day of the procedure.

Care after the Medical tubing by medical tubing manufacturers

After performing the exam, the patient must remain at complete rest. During this period, from four to six hours, he remains in the recovery unit. In general, within the first two hours, heart and respiratory rates and blood pressure are monitored.

Summary

Medical tubing manufacturers are important pillars in the maintenance of these devices. Moreover, it requires extensive technical-scientific knowledge. This ranges from insertion, maintenance to removal of this device. In this way, they contribute to the effectiveness and success of the treatment, assuming a differentiating role in the prevention and mitigation of the occurrence of adverse events related to its use.