Hickman line

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A Hickman line is a type of central venous catheter used for the administration of chemotherapy, antibiotics, and other medications, as well as for the withdrawal of blood for analysis. It is commonly used in patients who require long-term intravenous access.

Design and Placement

A Hickman line is typically made of silicone and consists of a long, flexible tube that is inserted into a large vein, usually the superior vena cava or the right atrium of the heart. The line is tunneled under the skin from the insertion site to an exit site on the chest, where it is secured with a Dacron cuff to reduce the risk of infection.

The procedure to insert a Hickman line is usually performed under local anesthesia and sedation. A small incision is made near the collarbone, and the catheter is threaded through the vein to the desired location. The external portion of the catheter is then tunneled under the skin to the exit site.

Uses

Hickman lines are used in various medical treatments, including:

• Chemotherapy for cancer patients
• Long-term antibiotic therapy
• Total parenteral nutrition (TPN)
• Frequent blood sampling
• Administration of other intravenous medications

Care and Maintenance

Proper care and maintenance of a Hickman line are crucial to prevent complications such as infection and thrombosis. Patients are typically instructed on how to clean the exit site, flush the catheter with heparin or saline solution, and change the dressings regularly.

Complications

Potential complications associated with Hickman lines include:

• Infection at the insertion or exit site
• Thrombosis or blood clots
• Catheter occlusion
• Accidental dislodgement

Removal

The removal of a Hickman line is usually a simple procedure that can be performed in an outpatient setting. The catheter is gently pulled out, and the exit site is closed with a suture or steri-strip.

See Also

• Central venous catheter
• Peripherally inserted central catheter
• Port (medical)
• Intravenous therapy