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Approach to venous access catheter selection in adults

Approach to venous access catheter selection in adults
This algorithm is intended for use in conjunction with additional UpToDate content on central venous access.
TPN: total parenteral nutrition; PIV: peripheral intravenous; CICC: centrally inserted central catheter; CKD: chronic kidney disease; USG: ultrasound-guided; PICC: peripherally inserted central catheter.
* For example, shock, cardiopulmonary arrest.
¶ Vesicants, infusate pH <5 or >9, infusate osmolarity ≥600 mOsm.
Δ Estimated glomerular filtration rate ≤45 mL/minute.
Chemotherapy, non-chemotherapy vesicants.
Adapted from:
  1. Chopra V, Flanders SA, Saint S, et al. The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): Results from a multispecialty panel using the RAND/UCLA appropriateness method. Ann Int Med 2015; 153:S1.
  2. Simonov BS, Pittiruti M, Rickard CM, et al. Navigating venous access: A guide for hospitalists. J Hosp Med 2018; 10:471.
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