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Evaluation ViewAttendees 25

PICC

(W4 PM) Pre-meeting Workshop - Radiographic Assessment of CVADs

Friday, October 13, 2023
1:30 PM – 5:30 PM PT
Location: B119
Earn 4 CE
Requires Separate Fee
Disclosure(s):
Jamie B, Santolucito, RN,CRNI,VA-BC: No financial relationships to disclose
*Additional fees apply
Despite advancements in the use of intravascular ECG-guidance as a reliable method to confirm CVAD tip position, basic knowledge and understanding of vascular anatomy and optimal CVAD tip position as defined by the chest radiograph remains a crucial skill for the vascular access specialist. This session will address basic fundamentals of chest radiography including radiographic densities, exposure, patient position and rotation, degree of inspiration and search pattern.  Contrast-enhanced digital imaging with direct correlation to the frontal chest radiograph will be used to accurately identify relevant structures such as the right and left mediastinal borders, right atrial appendage, cavoatrial junction, arterial anatomy and select aberrant vasculature.  Osseous and airway structures will be defined radiographically as an alternative method to determine optimal CVAD tip location when vascular landmarks are obscured. Numerous cases will be presented and discussed demonstrating optimal, suboptimal and malpositioned CVADs among adult, pediatric and neonatal patient populations.
*Upon successful completion of this workshop attendees will receive a "Certificate of Completion".

Learning Objectives:

  • Describe a process for designing and implementing a competency-verified program for healthcare providers to accurately assess the CXR prior to, and following CVAD insertion.
  • Describe basic fundamentals of chest radiography, including radiographic densities, exposure, patient position and rotation, degree of inspiration, and search pattern.
  • Review vascular anatomy of the upper and lower extremities and thorax and identify both the superior and inferior cavoatrial junction, radiographically.
  • Identify direct and indirect methods for determining optimal CVAD tip position using contrast-enhanced CTs, MRIs and venograms with direct correlation to the frontal CXR.
  • Review multiple cases demonstrating optimal, suboptimal and malpositioned CVADs.