TY - CHAP M1 - Book, Section TI - Chapter 12. Intravascular Devices A1 - McConville, John F. A1 - Kress, John P. A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Wood, Lawrence D.H. PY - 2005 T2 - Principles of Critical Care, 3e AB - The subclavian approach is preferred for placement of central venous catheters (CVCs).Real-time ultrasound may reduce the mechanical complications associated with CVC insertion.Chlorhexidine-based skin antiseptic solutions reduce the incidence of catheter-related bloodstream infections as compared with povidone-iodine.Almost 50% of hospital-acquired bloodstream infections are caused by staphylococcal species.CVCs should not be replaced nor exchanged over a guidewire on a routine basis. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2023/03/30 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=2282879 ER -