The major complication in the critical illness is the infection to the central venous line. This makes use of central venous catheters essential in chronic and critical patients. Proper use and aftercare of CVADs can prevent almost 70% of infections associated with it. This article attempts to summarize the guidelines recommended by GAIN for insertion and maintenance of the Central Venous Access Devices in children and young people.
Central Venous Access Devices are inserted into central, jugular, subclavian, femoral or a peripheral vein for the repeated administration of chemotherapy, antibiotics, parenteral feeding and blood products. They are also used for frequent blood sampling, poor venous access and frequent administration of Factor VIII. GAIN (Guidelines and Audit Implementation Network) has designed the guidelines with an aim to Ensure the proper care to the child/young person…