Alternative Access

General Session

J2 — General Session: Erasing the Taboo of the Femoral Central Line: Review and Case Studies of Mid-thigh Femoral Central Venous Catheters

Monday, September 17
10:15 AM - 11:15 AM
Location: Short North Ballroom
Presentation CE Credits: 1

Central venous access devices have been examined in the literature from their indication and necessity to their location and associated complications. In situations where upper extremity central access is contraindicated such as: upper extremity deep vein thrombosis, contractures, arterio-venous fistulas, existing tunneled catheters, superior vena cava syndrome, and unsafe areas for insertion or dwell time such as a jugular vein in a patient with a tracheostomy, the femoral vein remains the most common bedside option in adults. While studies state that the risk of inserter related infections with regards to the femoral and internal jugular veins are equal, the care and maintenance of these sites and associated contaminates are not. A series of case studies have been taken from over 100 mid-thigh femoral procedures performed at St Joseph's University Hospital System. This presentation will deal specifically with the common femoral vein and its challenges in the prevention of central line associated blood stream infections as well as examine the use of the the distal femoral vein in the mid-thigh for both long and short term venous access in patients where the upper extremities are contraindicated. This practice change and implementation through a collaboration between the Vascular Access Department and the the Director of Critical Care Medicine will be discussed.


 

Learning Objectives:

Matthew D. Ostroff, MSN, AGANCP, VA-BC™, CRNI®, CPUI

APN, Vascular Access Coordinator
St Joseph's University Hospital

Matthew Ostroff is the vascular access coordinator and lead vascular access Advanced Practice Nurse at St. Joseph's Regional Medical Center's award winning hybrid vascular access program. Matthew has had the honor of collaborating with the critical care physicians at his hospital in creating a new standard of care in patients requiring long term femoral vascular access. Matthew has had the privilege of sharing his vision for vascular access speaking throughout the US, Canada, Latin America and as the Keynote Speaker at the 28th Annual Association for Vascular Access National Meeting.

Presentation(s):

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Mourad Ismail, MD

Director of Critical Care Medicine
St Joseph's Regional Medical Center

Dr. Mourad Ismail is an internist in Paterson, New Jersey and is affiliated with St. Joseph's Healthcare System-Paterson. He received his medical degree from University of Alexandria Faculty of Medicine and has been in practice between 11-20 years. American Board of Internal Medicine
Certified in Sleep Medicine
American Board of Internal Medicine
Certified in Internal Medicine
American Board of Internal Medicine
Certified in Critical Care Medicine
American Board of Internal Medicine
Certified in Pulmonary Disease
NJ State Medical License
Active through 2017

Presentation(s):

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Send Email for General Session: Erasing the Taboo of the Femoral Central Line: Review and Case Studies of Mid-thigh Femoral Central Venous Catheters