Chapter 11. Problems and Practical Solutions during Insertion of Catheters

  1. Helen Hamilton CBE, FRCN, RGN Independent nurse consultant2 and
  2. Andrew R. Bodenham FRCA Consultant in Anaesthesia and Intensive Care Medicine3
  1. Cathy Hartley-Jones

Published Online: 7 MAY 2009

DOI: 10.1002/9780470750186.ch11

Central Venous Catheters

Central Venous Catheters

How to Cite

Hartley-Jones, C. (2009) Problems and Practical Solutions during Insertion of Catheters, in Central Venous Catheters (eds H. Hamilton and A. R. Bodenham), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9780470750186.ch11

Editor Information

  1. 2

    Intravenous therapy, Oxford Radcliffe Hospitals Trust, Oxfordshire, Oxford, UK

  2. 3

    Leeds General Infirmary, Leeds, UK

Author Information

  1. Latterly of Oxford Radcliffe Hospitals NHS Trust, UK

Publication History

  1. Published Online: 7 MAY 2009
  2. Published Print: 11 FEB 2009

ISBN Information

Print ISBN: 9780470019948

Online ISBN: 9780470750186



  • common problems encountered when attempting to insert central vascular access devices (CVAD);
  • sedation and analgesia;
  • intravenous sedation;
  • concurrent use of analgesia;
  • prophylactic antiemetic drugs;
  • gastroesophageal reflux disease;
  • head-tilt and chin-lift manoeuvre;
  • pre-existing arrhythmias;
  • venous stenosis


This chapter contains sections titled:

  • Needlephobia

  • Symptom management

  • Confused patients

  • Respiratory disease

  • Coughing

  • Snoring

  • Cardiovascular disease

  • Venous stenosis

  • Problems with venous access

  • Needles

  • Arterial puncture

  • Problems with tunnelling catheters

  • Port insertion

  • Conclusion

  • References