Anesthesia Technologist Practice Exam

What is one disadvantage of using the cut-down technique for central line placement?

1. It is time-consuming

2. It requires general anesthesia

3. It does not allow for monitoring

4. It has no associated risks

The correct answer is: It is time-consuming

The cut-down technique for central line placement involves making a small incision in the skin to access a vein, which can lead to several advantages in terms of visibility and control over the insertion. However, one significant disadvantage is that it can be time-consuming. This technique generally requires additional time compared to more common methods such as percutaneous insertion, primarily due to the need for preparing the incision site, making the cut, and managing the surgical instruments. While some might consider the requirement for monitoring or associated risks, those are factors relevant to all central line placement techniques. Moreover, the need for general anesthesia is not typical for the cut-down approach; it is usually performed under local anesthesia. Thus, the time factor stands out as a prominent drawback, especially in emergency situations where rapid access to central venous circulation is critical.