Guidelines for tunnelled CVCs

Guidelines are produced to assist healthcare professionals with the diagnosis and management of patients. The guidelines in this section on insertion and maintenance of CVCs are the result of extensive consultation among VASs and other healthcare professionals. 

There are numerous clinical guidelines for CVCs, and some of the most recent ones are listed here:

  • University Hospitals Bristol NHS Trust (University Hospitals Bristol NHS Trust 2020).
  • Guidelines and Audit Implementation Network (GAIN) – Guidelines for insertion and maintenance of central venous access devices in children and young people (GAIN 2014)
  • NICE. Guidance on the use or locating devices for placing central venous catheters (NICE 2002).
  • NICE are currently referencing the Royal Marsden NHS Foundation Trust Policy by way of guidance CVC https://www.nice.org.uk/guidance/mtg34/resources/policy-for-the-insertion-and-care-of-central-venous-access-devices-cvad-in-hospital-royal-marsden-nhs-ft-pdf-4481503169 
  • Some of the international practice guidelines in the last five years include:
  • Expert consensus-based clinical practice guidelines for management of intravascular catheters in the intensive care unit (Timsit et al 2020)
  • American Society of Anaesthesiologists (American Society of Anaesthesiologists 2020)
  • European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for central venous access in oncology (Sousa et al 2015)
  • Queensland Government. Guideline. Tunnelled central venous catheters (Queensland Government 2015).