How is a Broviac line placed?

A Broviac®/Hickman® central venous line (CVL) is a special intravenous (IV) line inserted under the skin on the chest wall and into a large vein that leads to the heart. It’s used in children and teens who need IV therapy for a long time.

What vessel does a Broviac go into?

Plcaement of a broviac line is generally performed under local anaesthesia with or without intravenous sedation. The vein is accessed (Eg. at the base of the neck for jugular venous access) and a microwire is passed down through the heart into the inferior vena cava confirming venous access position under fluoroscopy.

What is the difference between a PICC line and a Broviac?

Broviacs® had a significantly higher infection rate (4.2 vs. 2.6/1000 catheter days, p=0.011), but PICCs were more likely to break (1.56 vs. 0.26/1000 catheter days, p=0.002). When comparing same size catheters (3F), there were no significant differences in infection, breakage, or occlusion.

What is a Broviac tube?

Broviac catheter: a soft plastic tube that is inserted into a large vein to give intravenous (IV) therapy. The catheter is tunneled under the skin so that the place that it comes out of the skin is away from the place where it enters the vein. This catheter is used when IV therapy will be needed for a long time.

How is a broviac line removed?

The procedure is performed with IV sedation or general anesthesia. Local numbing medicine will be injected into the skin around the catheter exit site (usually on the chest). The tissue will be loosened and the catheter removed.

Where is broviac catheter?

A Broviac catheter is tunneled through the subcutaneous tissues of the chest and emerges as a thin plastic tube, usually at the level of the second or third rib.

Is Broviac a port?

The decision for placing a Broviac or Hickman rather than a port is usually based on frequency and duration of use. A patient that needs venous access every day should have a catheter that exits the skin (like a Broviac) rather than a port.

What is the difference between a Broviac and a Hickman?

16 The major difference between the two is the internal (lumen) diameter. This was 1.6 mm for the original Hickman catheter (as opposed to 1.0 mm for a Broviac catheter)13 in order to facilitate repeated blood sampling. The main features are covered in the discussion of Hickman catheters.

How long does a broviac last?

If you have any questions, ask your health-care provider. How long will the CVL stay in? The CVL can stay in place for months or even years. Your child will have it in place for 3 to 6 months after the last treatment.

What is the difference between a broviac and a Hickman?

What do broviac and Hickman catheters do?

NOTE: While smaller lumen Broviac catheters have been used successfully for blood withdrawal, their small lumen sizes increase the chance of clotting. The larger Hickman single- lumen catheter is intended for both infusion of I.V. fluids, med- ications, and nutritional solutions, and for withdrawal of blood samples.

How long do IJ lines stay in?

CVLs are inserted at femoral, subclavian and internal jugular sites. The internal jugular vein is the most common site used in children when the line will be in place for longer than seven to 14 days.

When can a Broviac line be inserted in a baby?

Broviac line insertion : Insertion of a Broviac line should only be considered when a baby has a definite reason for long-term central venous access (3-4 weeks) and when all sites for PICC line insertion have been exhausted. All Broviac lines are inserted under general anaesthetic in the operating theatre at BCH.

What is a Broviac Central line?

A Broviac is a type of central line that allows for long-term access to blood. There is an entry site where the catheter enters the blood vessel and an exit site where the central line comes out of the body.

What is a Broviac catheter used for?

12/2014. Broviac Care. Central Lines A central line is a catheter, or soft flexible tube, that is placed into a large blood vessel near the center of the body. Central lines are used to give fluids, medications, blood products, nutrition and to draw blood for labs. A Broviac is a type of central line that allows for long-term access to blood.

What side do you place brobroviac catheters on?

Broviac catheters can be placed on either the right or left side. We usually place them on the LEFT.