The SIF protocol: A seven-step strategy to minimize complications potentially related to the insertion of femorally inserted central catheters

Fabrizio Brescia, Mauro Pittiruti, Matthew Ostroff, Timothy R. Spencer, Robert B. Dawson

Research output: Contribution to journalEditorialpeer-review

Abstract

The insertion of central venous catheters through the femoral veins is not uncommon and is potentially associated with the risk of immediate puncture-related complications and severe late complications as infection and thrombosis. As for other central venous access devices, the use of a standardized protocol of insertion and the correct application of evidence-based strategies are beneficial in reducing the risk of complications. We proposed a standardized protocol (S.I.F.: Safe Insertion of Femorally Inserted Central Catheters) consisting of seven strategies that should be part of vascular cannulation and should be adopted during the insertion of femoral venous catheters, aiming to minimize immediate, early and late insertion-related complications. These strategies include: preprocedural evaluation of the patient history and of the veins, appropriate aseptic technique, ultrasound guided puncture and cannulation of the vein, intra-procedural assessment of the tip position, adequate protection of the exit site, proper securement of the catheter, and appropriate coverage of the exit site.

Original languageEnglish
JournalJournal of Vascular Access
DOIs
Publication statusAccepted/In press - 2021

Keywords

  • central venous access
  • femorally inserted central catheters
  • patient safety
  • standardized assessment
  • Techniques and procedures
  • ultrasound guidance

ASJC Scopus subject areas

  • Surgery
  • Nephrology

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