Arrow Pediatric ARROWg+ard Blue Two-Lumen Central Venous Catheter

A flexible, dual-lumen central venous catheter specifically designed for pediatric patients requiring central venous access for administration of medications, fluids, parenteral nutrition, or blood sampling. Features ARROWg+ard Blue antimicrobial technology with chlorhexidine and silver sulfadiazine chemically bonded to both internal and external catheter surfaces to reduce catheter-related bloodstream infections (CRBSI). Available in pediatric sizes ranging from 3 French to 7 French with various lengths. The two separate lumens allow simultaneous infusion of incompatible medications or fluids.

Common humanitarian uses:

• Emergency resuscitation and critical care in pediatric trauma or conflict injuries
• Administration of life-saving medications in field hospitals with limited IV access options
• Parenteral nutrition delivery for malnourished children unable to tolerate enteral feeding
• Chemotherapy administration for pediatric cancer patients in resource-limited oncology programs
• Fluid resuscitation and vasopressor support in pediatric sepsis or shock
• Prolonged antibiotic therapy for severe infections (meningitis, osteomyelitis, endocarditis)
• Blood sampling for frequent laboratory monitoring while preserving peripheral veins

Key information:

• Size range: Pediatric sizes 3-7 French diameter with lengths 5-20 cm depending on insertion site
• Lumens: Two independent channels for simultaneous medication/fluid delivery
• Material: Polyurethane with antimicrobial coating
• Antimicrobial technology: ARROWg+ard Blue (chlorhexidine + silver sulfadiazine) bonded to catheter surface
• Insertion sites: Internal jugular, subclavian, or femoral veins
• Included components: Catheter, introducer needle, guidewire, dilator, suture, caps, clamps
• Radiopaque: Yes, visible on X-ray for position confirmation
• Expected dwell time: Short-term use (days to weeks); antimicrobial protection effective >5 days
• Storage requirements: Room temperature in sterile packaging
• Shelf life: Several years when properly stored (check expiration date)
• Requires prescription: Yes - insertion by qualified physicians only

Important safety notes:

• Professional insertion only: CVC placement is an invasive procedure requiring trained physicians with ultrasound guidance; complications include pneumothorax, arterial puncture, air embolism, arrhythmia, or vessel perforation
• Position confirmation mandatory: Obtain chest X-ray after insertion to confirm tip position in superior vena cava or right atrium before infusing medications; misplaced catheters can cause life-threatening complications
• Sterile technique critical: Use maximal barrier precautions during insertion and maintain strict aseptic technique during all catheter access to prevent CLABSI
• Daily assessment: Inspect insertion site for signs of infection, bleeding, or catheter migration; remove catheter promptly when no longer needed
• Lumen management: Flush each lumen regularly with saline or heparinized saline per protocol to prevent occlusion; label lumens to avoid medication errors
• Emergency removal: If infection suspected or patient deteriorates, consider catheter removal and culture; do not delay removal waiting for culture results

ARROWg+ard Blue Technology Advantages: ARROWg+ard Protection reduces bacterial colonization of catheters by 44% and catheter-related bacteremia by 79%. The chlorhexidine/silver sulfadiazine coating provides broad-spectrum activity against gram-positive bacteria (including MRSA, S. aureus, S. epidermidis), gram-negative bacteria (including Enterococci, Pseudomonas), and fungi (including C. albicans). Chlorhexidine is CDC Class 1A recommendation for preventing catheter-related bloodstream infections. The antimicrobial protection covers the entire catheter including hubs and extension lines, critical in humanitarian settings where strict sterile technique may be challenging to maintain consistently.

Alternative names: Central line, CVC, central venous line, pediatric central catheter, double-lumen catheter, antimicrobial CVC, cathéter veineux central pédiatrique (French), catéter venoso central pediátrico (Spanish), Arrow CVC, Teleflex central catheter

⚠ Disclaimer: This description is for inventory identification only. Central venous catheter insertion must only be performed by qualified physicians trained in the procedure. Requires sterile technique and position confirmation before use. Always follow manufacturer's Instructions for Use. Check local regulations and expiration dates before distribution and use.