Long-term intravenous devices: a narrative review of their placement

Abstract

Purpose of review This review summarizes the latest findings and recommendations about the characteristics, indications and use of peripheral and central long-term venous access devices. The various complications inherent in these devices are becoming better known, and their contributing factors determined, which could make it possible to reduce their incidence. Recent findings Some measures are integrated into recommendations for good practice, such as appropriate selection of devices, the preferential use of the thinnest catheters, and cyanoacrylate glue and dressings impregnated with chlorhexidine. Summary Improving understanding of the phenomena leading to infectious and thrombotic complications, as well as better knowing the differences between intravenous devices and their respective indications, should lead to improvement of in-hospital and out-of-hospital care.