ICU Lines and Leads Identificaiton

What is this line and what is it used for?

PICC Line: Used for longer term central line placement. Used to administer fluid, medication and for blood sampling.

Peripheral IV line: Line directly into the peripheral vein, injections or infusions of fluids electrolytes nutrients or medications

Port Catheter: Catheter that connects to a vein and placed under the skin (tight below the clavicle). Used to deliver medicaiton or draw blood samples, typically seen in hematology/ oncology

Central Venous Catheter: Assess central venous pressure and right aterial pressure

can also be used to administer fluid, medication, sample blood or emergency placement of temporary pacemaker

Patient Controlled Analgesia

• Epidural PCA: Catheter in epidural or subarachnoid space of the spinal cord, connected to a pump

• Regional PCA: Catheter directed into a specific regional site

Swan-Gaez/ Pulmonary Artery Catheter: Pressure sensory to assess pressures in TA, RV, pulmonary artery and calculate cardiac output. Hemodynamic monitoring in carcinogenic shock/ mixed shock, Pulmonary HTN, Cardiac tamponade, complicated MI

Atrial Line: Invasive, indewelling catheter connected to a transducer and pressurized fluid device

Accurate real time measurement of BP including MAP

Transducer must be at heart level

Limit WB and repetitive movement

Chest Tube to Atrium: Closed system due to a water reservoir in atrium, acts as a one way valve to allow air and fluid to escape. Suction can be applied to pull off additional fluid

Permanent Pacemaker (PPM)

Peritoneal Dialysis

Nasogastric (NG) Tube: Nose into the stomach, can be used for feeding or medications

Gastrojejunum (GJ) Tube: A feeding tube that is inserted through the abdominal wall into the jejunum, used for patients who cannot eat by mouth.

Hemo Vac

Jackson-Pruitt Drain: a type of wound drainage system that uses suction to remove fluid from a surgical site or wound, promoting healing and reducing infection risk.

Wound Vacuum

Mechanical Ventilation: Tracheotomy

• Intended for patients who have

  • Inadequate alveolar ventilation

  • Inadequate lung expansion

  • Inadequate respiratory muscle Strength

  • Excessive work of breathing

  • Insufficient or unstable respiratory drive

  • Severe hypoxemia

Yaunkuer Suction: Used for oral suction, may be used for trach suction externally

Life Vest

Pulse Oximetry

• non invasive, peripheral measurement of oxygen bound to available hemoglobin

• ABG has saturation at atrial level bound to hemoglobin (SAO2)

Oxygen

• as PTs we can titrate the O2

Endotracheal Tube/ Tracheotomy

ECMO

• used to maintain adequate gas exchange in patients with severe respiratory failure

  • provides maximal mechanical ventilatory support

• Blood drained from venous system and oxygenated outside the body

• Most pts are sedated and on bedrest since intended for short term support

• **NEEDS A TEAM APPROACH FOR MOBILITY**

Intraventricular Catheter (IVC): connected to a external ventricular drain: direct monitoring of ICP and access for sampling and drainage of CSF and intraventricular blood via placement into the third ventricle

**TRANSDUCER MUST BE LEVELED WITH THE EAM (EXTERNAL AUDITORY MEATUS) AND RE-POSITIONED WITH POSITION CHANGES

Pacemaker