- Procedural
- Consider a peripherally inserted central line (PICC).
- Use of subclavian or internal jugular insertion sites (femoral vein has a higher risk of infection)
- For the procedure:
- Perform skin preparation with chlorhexidine and alcohol.
- Follow hand hygiene and strict aseptic technique.
- Place the line under ultrasound guidance.
- Postprocedural
- Replace lines that were inserted emergently within 2 days.
- Perform regular maintenance.
- Routine replacement of CVCs is not necessary for functional catheters with no evidence of infection.