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mbeckoff
03-18-2010, 05:15 PM
Can I ask my Doctor if he will put in a central line for me as I have such a hard time getting veins for IVs and blood tests?

Melissa

Karen Ocker
03-18-2010, 05:56 PM
A central venous line is often used routinely for scoliosis surgery.

It enables rapid, reliable delivery of IVs and medications. Also, it can be used to monitor central venous pressure which monitors proper fluid balance.

mbeckoff
03-18-2010, 06:16 PM
Is it put in while you are in the OR for the surgery?

Karen Ocker
03-18-2010, 06:21 PM
It's usually put in once a person is asleep. There has to be at least a small IV in place to start the anesthetic. If a central line is put in awake then local anesthetic is used.

mbeckoff
03-18-2010, 07:00 PM
If I want the central line put in before the surgery , would that be something to speak to the surgeon about?

Karen Ocker
03-18-2010, 07:08 PM
You can certainly ask. The anesthesia team usually inserts the line.

LindaRacine
03-18-2010, 10:42 PM
I'm not sure why you'd want to have it put in prior to surgery. The anesthesiology staff puts those things in every day, so I doubt there would be any issue.

--Linda

mbeckoff
03-18-2010, 11:18 PM
The reason that I would want it put in before surgery is that then I will not have to have an IV put the morning of surgery . I have no veins and when they are trying to find a vein just to take a blood sample it takes about 15 minutes and its really hurts and I just don't feel like starting off my surgery like that, Besides a IV needle is larger than a butterfly needle as well

Melissa

jrnyc
03-19-2010, 03:50 AM
i suspect there will be alot of pain to deal with...after the surgery....
the hand veins can work with alot of fluid drinking first...the pain is momentary...
worst to worst, would expect anesthesiologist will get a vein...never seen one not be able to, one way or another...or so my doctor told me when i had some troubles...back when i got a central line, they pushed it thru major blood vessels in neck :eek:...no general anesthetic...just a little local novocaine! seems their methods have improved alot since then, with anesthesia for insertions....my friend was knocked out, woke up with line in place.....she told me she prefers the newer methods to the old, barbaric one i endured!

best of luck
jess

mbeckoff
03-19-2010, 12:36 PM
So is the general opinion that I would be happy or unhappy to get the central line put in before surgery?

Melissa

rich1752
03-19-2010, 12:57 PM
I didn't know it was called a central line, but I had one in my neck. Had it done while I was asleep, so didn't feel it, but did hurt coming out. I had IV or lines on each arm also. On third night, blood pressure dropped, so they began giving me blood on each arm. They used blood pressure cuff to squeeze blood bag, in order to get it into me quicker. With water in lungs, blood pressure and rapid heart rate, it was my worst day, but everything stablize the next day. down hill after that.

Karen Ocker
03-19-2010, 04:22 PM
Some people have extremely small or deep vein.

I have seen people in my practice who have needed to have a central line inserted pre-op because, even the most experienced of us, have been unable to start a regular IV. A large central vein in the neck or under the collar bone for example are used. It is not fair to keep poking.:eek:

mbeckoff
03-19-2010, 05:43 PM
Some people have extremely small or deep vein.

I have seen people in my practice who have needed to have a central line inserted pre-op because, even the most experienced of us, have been unable to start a regular IV. A large central vein in the neck or under the collar bone for example are used. It is not fair to keep poking.:eek:

That is my problem . So would not I be better off having a Central line put in before surgery so I don;t have to be poked on the morning of surgery?

Melissa

Karen Ocker
03-19-2010, 06:09 PM
Melissa,

Just talk to the anesthesia team and your surgeon in advance. Let them do what they think is best. A central line is not without risks. If left in too long then it can be an entryway for infection. Every hospital has their own protocol to prevent this.

naptown78
03-21-2010, 10:22 PM
I had a small butterfly put in right in the crook of my elbow right after I stripped down to my hospital gown. These nurses do this several times each day as did I in my day. You will also talk to your anesthesiologist at this time. My veins are small. They put in a central line in my neck after they put me out. I was on my stomach for 8 hrs so that was the best place for it. Also to get 4 units of blood into me during surgery.
Don't worry about this. In the whole scheme of things, this is minor. Bless you and good luck on your upcoming surgery!

Shari
03-21-2010, 11:45 PM
My line was put in my neck while I was under for the 1st surgery. I think they put it there because of all twisting and moving they have to do to get you straight durning the 2nd surgery.

I seemed to have bad luck. When it came time to leave, I had already had really shitty nursing care:mad:. Plus I was supposed to wait for them to trim my brace. I waited & waited, getting more frustrated as the minutes passed.

Finally the nurse came in to take my line out. She pulled they tape off, which once a year, I have someone do that to me, just for kicks:rolleyes:.
They she asked me if I minded if she let a intern take it out. I told her I would rather not. Then someone else came in and look at my neck, said I'll be right back. Here they had stapled it to my neck, which became apparent to me that something was wrong. They finally found a male intern that said he would try it:eek:.

As he struggled to get them out of my neck, I had tears streaming down my cheeks. I looked at my husband, and he was getting upset. But he finally got that lasts one out. I told my ex- husband to please get me out right now. So it didn't have my brace trimmed.

Nothing that happened was funny at the time, but as I look back, things were funny.

Sorry to ramble,
Shari