Who places the central line?
Once you have agreed to having a central line and signed the relevant consent forms, an experienced anaesthetist, radiologist or appropriately qualified haematology specialist will place the central line.
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When and where does it happen?
The central line will be placed in the morning of the first day of donation.
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Some hospitals will have the equipment to place the central line on the ward, while others will take you to the radiology department. If you have to go to a different department, or if the doctors hadn’t decided you needed a central line in advance, the start of your donation might be delayed and you might finish donating later than expected.
Do you need to prepare differently to have a central line?
No, you don’t need to prepare any differently for having a central line. You’ll be given a hospital gown to change into before it’s placed.
Does a central line hurt?
You’ll have a local anaesthetic to numb the skin at the insertion point. The placement should not hurt in any way, but it may be more uncomfortable than having the needles in your arms, although you will be able to move your arms around more.
How long does the central line stay in for?
The central line will be in for a maximum of two days. If you’re needed for a second day of donating, you will be kept in hospital overnight so the central line can stay in place. If your donation only takes one day, the central line will be taken out once your stem cells have been collected and counted.
Are there any adverse effects of having a central line?
Serious complications do exist, but they are very rare. These include internal bleeding and air embolus (less than 0.5%), and where central lines are placed in the neck, they could result in pneumothorax where air or gas collects in the pleural space of the lung (less than 4%).
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Other complications include local bleeding; local infection (signs of this include redness, warmth and tenderness as the insertion site); systemic infection (signs of this include fever, nausea/vomiting and malaise); and thrombus, where a blood clot firms.
Occasionally the central line doesn’t function properly or may become blocked. This just means it would need to be removed.
The risks associated with a central line for healthy stem cell donors are minimal, and you’ll be closely monitored the whole time to check for any reactions so they can be dealt with quickly.
If you have any questions or want any more information about central lines, please speak to your Coordinator.
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