Blausen_0181_Catheter_CentralVenousAccessDevice_NonTunneled

A Groshong line is a type of intravenous

catheter In medicine, a catheter (/ˈkæθətər/) is a thin tube made from medical grade materials serving a broad range of functions. Catheters are medical devices that can be inserted in the body to treat diseases or perform a surgical procedure. Cat ...

used for central venous access. It can be tunneled or non-tunneled.

Application

Groshongs may be left in place for extended periods and are used when long-term intravenous therapy is needed, such as for

chemotherapy Chemotherapy (often abbreviated to chemo and sometimes CTX or CTx) is a type of cancer treatment that uses one or more anti-cancer drugs (chemotherapeutic agents or alkylating agents) as part of a standardized chemotherapy regimen. Chemothe ...

. Similar to the

Hickman line A Hickman line is a central venous catheter most often used for the administration of chemotherapy or other medications, as well as for the withdrawal of blood for analysis. Some types are used mainly for the purpose of apheresis or dialysis. ...

, the tip of the catheter is in the

superior vena cava The superior vena cava (SVC) is the anatomical terms of location#Superior and inferior, superior of the two venae cavae, the great vein, venous trunks that return deoxygenated blood from the circulatory system, systemic circulation to the atrium ...

, and the catheter is tunneled under the skin to an incision on the chest wall, where the distal end of the catheter exits the body. In contrast to the

, the tip of a Groshong line has a three-way valve, which is formed by a slit in the sidewall of the catheter tip. The valve opens outward during infusion, and opens inward during blood aspiration. When not being accessed, the valve remains closed.

Handling

The insertion of a central Groshong line is usually done under

local anesthetic A local anesthetic (LA) is a medication that causes absence of pain sensation. In the context of surgery, a local anesthetic creates an absence of pain in a specific location of the body without a loss of consciousness, as opposed to a general an ...

by an interventional anaesthesiologist,

interventional radiologist Interventional radiology (IR) is a medical specialty that performs various minimally-invasive procedures using medical imaging guidance, such as x-ray fluoroscopy, computed tomography, magnetic resonance imaging, or ultrasound. IR performs bot ...

or surgeon. Throughout the procedure,

ultrasound Ultrasound is sound waves with frequencies higher than the upper audible limit of human hearing. Ultrasound is not different from "normal" (audible) sound in its physical properties, except that humans cannot hear it. This limit varies fr ...

and

X-ray X-rays (or rarely, ''X-radiation'') are a form of high-energy electromagnetic radiation. In many languages, it is referred to as Röntgen radiation, after the German scientist Wilhelm Conrad Röntgen, who discovered it in 1895 and named it ' ...

s may be used to confirm placement. When a central venous catheter is inserted, a chest radiologic examination is usually performed to confirm the position of the catheter and absence of pneumothorax. The chest radiologic examination is integral to the procedure. Groshong catheters come in PICC line variations as well. The Groshong catheter is a trademark of Bard Access Systems. The device is named after its inventor, LeRoy E. Groshong, MD, a surgical oncologist based in

Oregon Oregon () is a state in the Pacific Northwest region of the Western United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idah ...

References

{{DEFAULTSORT:Groshong Line Catheters

Application

Handling

See also

References