Approach to venous access catheter selection in adults

This algorithm is intended for use in conjunction with additional UpToDate content on central venous access.

TPN: total parenteral nutrition; PIV: peripheral intravenous; CICC: centrally inserted central catheter; CKD: chronic kidney disease; USG: ultrasound-guided; PICC: peripherally inserted central catheter.

* For example, shock, cardiopulmonary arrest.

¶ Vesicants, infusate pH <5 or >9, infusate osmolarity ≥600 mOsm.

Δ Estimated glomerular filtration rate ≤45 mL/minute.

◊ Chemotherapy, nonchemotherapy vesicants.

Adapted from:

Chopra V, Flanders SA, Saint S, et al. The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC): Results from a multispecialty panel using the RAND/UCLA appropriateness method. Ann Int Med 2015; 153:S1.
Simonov BS, Pittiruti M, Rickard CM, et al. Navigating venous access: A guide for hospitalists. J Hosp Med 2018; 10:471.

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Approach to venous access catheter selection in adults