Inserting your Altius CVC
Super Echogenic Needle
WHAT: Provides excellent visualisation under ultrasound.
BENEFIT: Prevents puncturing of posterior wall.
Guidewire & Dispenser
WHAT: Nitinol, kink resistant, guidewire featuring depth and ECG cable markers. Supplied in a unique, one-handed, thumb operated dispenser.
BENEFIT: Easy and successful insertion first time, with precise control at insertion point.
TIP: Kimal’s guidewire dispenser has a built in safety feature. Do not over-retract guidewire.
Guidewire Compatible Syringe
WHAT: Allows the guidewire to pass through the syringe during insertion.
BENEFIT: The closed system provides a bloodless insertion.
Scalpel no. 11
TIP: Use the scalpel provided in the Altius kit, if required, to make a nick in the skin at the point of insertion.
WHAT: Tapered dilator with hydrophilic coating.
BENEFIT: Less force to insert dilator, reducing potential trauma.
TIP: Lubricate with saline before use.
Secondary Fixation Suture Wing
WHAT: Soft silicone posterior wing sits between the patient’s skin and the catheter and the harder wing fits over the top of the CVC.
BENEFIT: Causes less irritation and damage to the patient’s skin and prevents CVC migration.
TIP: This is to be fixed placing the posterior clear wing first by retracting the wings and securing the CVC, followed by the anterior colour-coded wing.
How to use the guidewire dispenser
WHAT: The syringe valve has been designed to receive the Altius guidewire dispenser’s tapered end.
BENEFIT: Tight seal; it becomes one unit. No movement.
TIP 1: Prime the valve by activating it with the guidewire dispenser prior to insertion.
TIP 2: Advance the tapered end of the dispenser to the syringe valve without pushing the needle against the vessel
Once the CVC has been inserted
Aspirate all of the way to the syringe to check for patency of the lumens.
In line with guidelines, aspirate all of the lines before flushing each lumen.
TIP: There might be a change to the current practice if you’re used to aspirating until the lines are clear.
TIP: Flush with saline using the Positive-Pressure Disconnect technique to prevent potential occlusions when the lumen is not immediately used. Suture CVC using the secondary fixation if required.
TIP: Ensure that the skin and the catheter is fully dry from disinfectant before placing dressings over the suture wing.