{"id":11096,"date":"2015-01-11T05:43:44","date_gmt":"2015-01-11T05:43:44","guid":{"rendered":"http:\/\/lavascular.com\/?page_id=11096"},"modified":"2021-06-25T20:27:02","modified_gmt":"2021-06-25T20:27:02","slug":"trifusion-catheter","status":"publish","type":"post","link":"https:\/\/lavascular.com\/trifusion-catheter\/","title":{"rendered":"Trifusion Catheter"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_65 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6620c42c52f15\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6620c42c52f15\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/lavascular.com\/trifusion-catheter\/#What_is_a_Trifusion-Triple_lumen_catheter\" title=\"What is a Trifusion-Triple lumen catheter?\">What is a Trifusion-Triple lumen catheter?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/lavascular.com\/trifusion-catheter\/#Indications\" title=\"Indications\">Indications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/lavascular.com\/trifusion-catheter\/#Contraindications\" title=\"Contraindications\">Contraindications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/lavascular.com\/trifusion-catheter\/#Placement_and_Removal_of_Trifusion_Catheter\" title=\"Placement and Removal of Trifusion Catheter\">Placement and Removal of Trifusion Catheter<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/lavascular.com\/trifusion-catheter\/#Complications_with_Trifusion_catheters\" title=\"Complications with Trifusion catheters\">Complications with Trifusion catheters<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/lavascular.com\/trifusion-catheter\/#Trifusion_Catheter_Care\" title=\"Trifusion Catheter Care\">Trifusion Catheter Care<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_is_a_Trifusion-Triple_lumen_catheter\"><\/span><span style=\"text-decoration: underline;\">What is a Trifusion-Triple lumen catheter?<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A trifusion triple lumen catheter is a central venous catheter made of polyurethane adapted from a <a href=\"https:\/\/lavascular.com\/hickman-catheter\/\">Hickman<\/a> catheter design. The catheter is a tunneled central venous catheter much like the <a href=\"https:\/\/lavascular.com\/hickman-catheter\/\">Hickman catheter<\/a> and is used for and considered a long-term catheter.\u00a0 The main difference between a trifusion catheter and a Hickman or broviac catheter or other similar catheters is the three lumen design of the catheter.\u00a0 This allows for the catheter to be used for various reasons simultaneously ie. for collecting blood samples and administering drugs. The catheter enters the vein near the base of the neck (Most commonly the internal jugular vein) where it travels through the central veins with one end of the catheter is placed in a large vessel near your heart (Superior vena cava\/right atrial junction) and the other end tunneled under the sin exiting below the collar bone on the chest.<\/p>\n<p>The catheter comes with a tissue in growth cuff that keep the catheter fixed in a subcutaneous tunnel. It has three large lumens that are of equal size and appropriate for apheresis. The proximal lumen is used for blood products and the distal lumen for blood return during the procedure of apheresis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Indications\"><\/span><span style=\"text-decoration: underline;\">Indications<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Trifusion triple lumen central venous catheter can be used for both long-term and short-term venous access. It is used in the following situations;<\/p>\n<ul>\n<li>Obtaining blood samples frequently<\/li>\n<li>Intravenous infusion therapy<\/li>\n<li>Administration of fluids, drugs and blood products.<\/li>\n<li><a href=\"https:\/\/lavascular.com\/hickman-catheter\/\">Parenteral nutrition<\/a><\/li>\n<li>Apheresis<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Contraindications\"><\/span><span style=\"text-decoration: underline;\">Contraindications<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>The catheter should not be used in the presence of a <a href=\"https:\/\/lavascular.com\/catheter-related-infection\/\">catheter related infection<\/a><\/li>\n<li>Allergy to materials of which the catheter is made<\/li>\n<li>Infection at the catheter entry site<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Placement_and_Removal_of_Trifusion_Catheter\"><\/span><span style=\"text-decoration: underline;\">Placement and Removal of Trifusion Catheter<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The catheter can be placed in the chest or the groin although the chest is preferred because of decreased infection risk as compared with the groin.\u00a0 The right side is preferred to the left because of the more direct course of the veins.\u00a0 Most commonly the catheter is placed into the internal jugular vein on the right just above the clavicle where it passes through the subclavian\/brachiocephalic vein to enter the superior vena cava with the tip of the catheter opening at the superior vena cava (SVC) right above the right atrium of heart. The catheter can also be inserted into directly into axillary-subclavian vein percutaneously as opposed to the more common jugular vein access. If the catheter enters medially, there is a chance of catheter compression between first rib and clavicle, this is referred to as pinch off syndrome.<\/p>\n<p>Once the catheter enters the vein above the clavicle it is then tunneled under the skin towards the exit site on the chest. The cuff that is attached to catheter is positioned within the tunneled portion under the skin and is responsible for keeping the catheter in place.\u00a0 The catheter is initially sutured in place to allow the cuff to have tissue ingrowth.<\/p>\n<p>Since the retention cuff encourages tissue growth, the catheter needs to be removed by a procedure. like all central vein catheters pts should lay flat or with their head below the level of their heart.\u00a0 patients should never be sitting upright in order to mitigate the risk of air <a href=\"https:\/\/lavascular.com\/arterial-pathology\/\">embolism<\/a> during catheter removal. Local numbing medication is injected at the catheter exit site around the cuff and the cuff is then dissected away from the ingrown tissue. Once the cuff is freed, the catheter can be removed easily by a gentle pull.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Complications_with_Trifusion_catheters\"><\/span><span style=\"text-decoration: underline;\">Complications with Trifusion catheters<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Just like all the other central venous catheters, trifusion have a few <a href=\"https:\/\/lavascular.com\/complication-of-interventional-oncology-procedures\/\">complications<\/a> which are uncommon and have become even less common with the adoption of ultrasound imaging and fluoroscopy used during the placement of the catheter. Here are a few of the complications;<\/p>\n<ul>\n<li>Air embolism<\/li>\n<li>Bleeding<\/li>\n<li>Catheter related infection<\/li>\n<li>Cardiac arrhythmias<\/li>\n<li>Catheter or cuff erosion through skin<\/li>\n<li>Thrombosis<\/li>\n<li>Pneumothorax and haemothorax<\/li>\n<li>Catheter related sepsis<\/li>\n<li>Endocarditis<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Trifusion_Catheter_Care\"><\/span><span style=\"text-decoration: underline;\">Trifusion Catheter Care<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Catheter care is an important component of aftercare. All central venous catheters have the potential of causing serious infections and complications that could lead to patient morbidity and mortality. Proper hygiene while inserting, examining, changing dressing and removing catheter is of immense importance.<\/p>\n<p>In case of any redness, swelling, bruising and extrusion at the catheter entry site on the chest or at the venotomy on the neck all fluid infusions or blood draws should be discontinued and appropriate medical therapy started. Make sure that dressing remains dry and is firmly secured to the area so that catheter remains in position and is protected from infection.<\/p>\n<p>Catheter should be regularly monitored for any kind of damage or pulling, since this could be a potential source of mispositioning of the catheter or fragmentation and even more concerning complications.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is a Trifusion-Triple lumen catheter? A trifusion triple lumen catheter is a central venous catheter made of polyurethane adapted from a Hickman catheter design. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"jetpack_post_was_ever_published":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[21],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Trifusion Catheter - LA Vascular<\/title>\n<meta name=\"description\" content=\"Learn about Trifusion Catheter care, placement and indication along with other topics in\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lavascular.com\/trifusion-catheter\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trifusion Catheter - 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