Arrow SLIC Quick Start Manual page 2

and alcohol content.
Acetone: Do not use acetone on catheter surface.
Acetone may be applied to skin but must be allowed
to dry completely prior to applying dressing.
Alcohol: Do not use alcohol to soak catheter surface
or to restore catheter patency. Care should be taken
when instilling drugs containing high concentration
of alcohol. Always allow alcohol to dry completely
prior to applying dressing.
A Suggested Procedure:
Use sterile technique.
1. Precaution: Place patient in slight Trendelenburg
position, as tolerated, to reduce the risk of air
embolism. If femoral approach is used, place patient
in supine position.
2. If catheter is removed from sheath or catheter insertion
is delayed, introduce the entire length of the SLIC
assembly through
assembly. Twist to lock (refer to Fig. 2).
• Orient slot in hub with locking pin on assembly cap.
• Slide hub forward over cap and twist.
Precaution: When SLIC
catheter removal, use an appropriate antiseptic to
prep the hemostasis valve housing prior to inserting
®
the SLIC . Include the exposed portion of the valve
on the top of the housing.
obturator in place, occludes the hemostasis valve
preventing air entry or blood loss through the valve.
Warning: Connection between SLIC
®
and SLIC must be tightened securely and
routinely examined to minimize the risk of
disconnection and
hemorrhage or exsanguination.
®
3. To use the SLIC for intravenous infusion, remove the
®
blue-capped SLIC
clockwise. Hold the infusion port to maintain positive
lock to hemostasis valve housing. Pull the SLIC
obturator from the infusion catheter (refer to Fig. 3).
Immediately attach desired line to Luer-Lock hub.
Warning: Exposure of the central vein to
atmospheric pressure may result in entry of air into
the central venous system.
obturator to ensure the entire length has been
withdrawn. Document
withdrawal and start of infusion.
the hemostasis valve/sheath
Fig. 2
®
assembly is inserted after
®
The SLIC , with the
®
obturator
possible air embolism,
obturator by twisting counter
Inspect the SLIC
®
the SLIC obturator
4. If the infusion through the SLIC
hub should be capped with a Luer-Lock injection cap
and handled per hospital flushing protocol, or the
®
SLIC should be withdrawn and replaced with a sterile
Arrow obturator, sold separately, to ensure that leakage
does not occur and inner seal is protected from
contamination.
any manipulation to minimize the risk of blood loss
®
or the introduction of air into the sheath.
* If you have any questions or would like reference
information, please contact Arrow International, Inc.
Reference:
1. Bar-Joseph G, Galvis AG. Perforation of the heart by
central venous catheters in infants: guidelines to
diagnosis and
1983;18:284-287.
2. Blitt CD, ed. Monitoring in Anesthesia and Critical
Care Medicine. Central venous pressure monitoring.
New York, NY: Churchill Livingstone; 1985:121-165.
3. Brandt RL, Foley WJ, Fink GH, Regan WJ.
Mechanism of perforation of the heart with production
of hydropericardium by a venous catheter and its
prevention. Am J Surg. 1970;119:311-316.
4. Collier PE, Ryan JJ, Diamond DL. Cardiac tamponade
from central venous catheters – report of a case and
review of the English literature. Angiology. September
1984;35:595-600.
5. Curelaru J, Linder LE, Gustavsson B. Displacement of
catheters inserted through internal jugular veins with
neck flexion and extension. Intens Care Med.
1980;6:179-183.
6. Iberti TJ, Katz LB, Reiner MA, Brownie T, Kwun KB.
Hydrothorax as a late complication of central venous
indwelling catheters. Surgery. November 1983:842-846.
7. Maschke SP, Rogove HJ. Cardiac tamponade
associated with a multilumen central venous catheter.
Crit Care Med. 1984;12:611-612.
8. Peters JL, ed. A Manual of Central Venous
Catheterization and Parenteral Nutrition. Boston, MA:
John Wright PSG; 1983:58-61,155-157.
9. Sheep RE, Guiney WB Jr. Fatal cardiac tamponade.
®
JAMA. 1982;248:1632-1635.
10. Sigurdsson J, Riba P, Sigurdsson S. The wandering
central venous
1985;11:263-264.
®
11. Tocino IM, Watanabe A. Impending catheter
perforation of superior vena cava: radiographic
recognition.
1986;146:487-490.
2
Fig. 3
®
is discontinued, the
Warning: Cover the lumen during
management. J Pediatr
catheter. Intensive
Am J Roentgenology.
Surg.
Care Med.
March