How do I properly insert the Quattro Intravascular Heat Exchange Catheter? (ZOLL IC-4593 Heat Exchange Catheter Kit Instruction Manual)

Answer

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Feb 11, 2025 - 10:21 PM

To properly insert the Quattro Intravascular Heat Exchange Catheter, follow these steps:

1. Obtain femoral venous access using standard percutaneous techniques. Maintain access with a 0.032" (0.81 mm) guidewire.
2. Holding the guidewire in place, remove the introducer catheter. Do not attempt to reinsert a partially or completely withdrawn introducer needle from its catheter.
3. Enlarge the cutaneous puncture site with the cutting edge of the scalpel positioned away from the guidewire.
4. Thread the tip of the catheter over the guidewire. Maintain a firm grip on the guidewire during catheter insertion.
5. Advance the catheter into the vein, placing your fingers just proximal to the balloon. Continue to advance the catheter over the guidewire.
6. Using the centimeter marks on the catheter as positioning reference points, advance the catheter to at least the minimum marker number to ensure the proximal infusion port is in the vessel.
7. Hold the catheter at the desired depth and remove the guidewire. If resistance is encountered, withdraw the catheter relative to the guidewire about 2–3 cm and attempt to remove the guidewire. If resistance is encountered again, remove the guidewire and catheter simultaneously.
8. Verify catheter placement by attaching a syringe to the distal infusion Luer and aspirate until a free flow of venous blood is observed. Connect the infusion Luer to the appropriate Luer-Lock line as required.
9. Secure and dress the insertion site and catheter temporarily.
10. Verify the catheter tip position by chest x-ray immediately after placement. X-ray examination must show the catheter located in the inferior vena cava (IVC) with the distal end of the catheter parallel to the vena cava wall. If the catheter tip is malpositioned, reposition and reverify.
11. Secure the catheter to the patient using the provided suture tab and clip. Dress the puncture site per hospital protocol.
12. Record the indwelling catheter length on the patient's chart using the centimeter marks on the catheter shaft as a reference.

Please note that these instructions are a summary and should be followed in conjunction with the complete instructions provided in the ZOLL IC-4593 AE Quattro Intravascular Heat Exchange Catheter Kit Instruction Manual.