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Central Line removal Precautions {Ans: Instruct the patient to hold his breath or bear down during CVC removal (about 10 seconds). If the patient is mechanically ventilated, withdraw the CVC during the expiratory cycle. These maneuvers reduce the risk for air embolism. Withdraw a CVC slowly in one continuous motion. Stop if resistance is met--the catheter may be knotted or lodged in the vessel. Secure the CVC, cover the site, and report to physician. Use a quicker withdrawal motion to remove the distal lumen of multi-lumen catheters to decrease the risk of air embolism through the proximal and medial lumens. Apply pressure to the site for at least 2-3 minutes to promote hemostasis. Immediately apply an occlusive dressing such as petroleum gauze and a dry sterile gauze to prevent air or microorganism entry through the insertion site. Antibacterial ointments may not be adequate to seal insertion site. Activate emergency procedures if an embolic complication occurs. AFTER THE PROCEDURE Observe the condition of and measure the CVC. Catheters can break off during removal. Check the dressing frequently for the first 15 minutes and then every 15 minutes for the first hour after CVC removal to detect bleeding. Continue to observe