Hickman Line vs. Ports: What’s the Difference?
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Time to read 2 min
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Time to read 2 min
In modern medicine, central venous catheters play a vital role in providing long-term access to the bloodstream for patients undergoing treatments such as chemotherapy, dialysis, and intravenous medications. One commonly used catheter is the Hickman line . In this article, we will explore what a Hickman line is, how it compares to other types of central venous catheters, and how to care for it properly.
A Hickman line is a central venous catheter designed for long-term use. It consists of a soft, flexible tube inserted into a vein in the chest, near the collarbone, and tunneled under the skin. The external portion of the catheter allows for easy access to the bloodstream for administering medications, drawing blood, or delivering nutrients.
✔️ Tunneled under the skin for added protection against infections
✔️ Available in single, double, or triple lumens , allowing multiple treatments at once
✔️ Reduces the need for repeated needle sticks
✔️ Designed for long-term use in chronic treatments such as chemotherapy and parenteral nutrition
While Hickman lines and ports serve similar purposes, they have key differences that may make one more suitable than the other depending on the patient’s needs.
Feature |
Hickman Line |
Port (Port-a-Cath) |
Implantation |
External access via an opening in the chest |
Fully implanted under the skin |
Number of Lumens |
Typically multiple lumens for simultaneous treatments |
Usually single lumen |
Access |
Easily accessible for frequent use |
Requires a needle to access |
Mobility |
May restrict movement due to external tubing |
Allows for full range of motion |
Infection Risk |
Higher risk due to external exposure |
Lower risk as it is fully implanted |
Duration of Use |
Designed for long-term use |
Can remain implanted for years |
A Hickman line is often recommended for patients who require frequent or long-term venous access , such as:
Cancer patients undergoing chemotherapy
Patients receiving total parenteral nutrition (TPN)
Individuals requiring frequent blood transfusions
Proper care of a Hickman line is essential to prevent complications such as infection or clotting. Here are some key care tips:
Daily cleaning – Follow your healthcare provider’s instructions on cleaning the exit site with antiseptic solutions.
Flushing the line – Flush the lumens regularly with saline or heparin to prevent clotting.
Keeping the area dry – Use waterproof dressings or shower covers to keep the site protected.
Checking for signs of infection – Look for redness, swelling, pain, or discharge around the insertion site.
For patients using Hickman lines or Ports, AquaGuard Shower Covers can help protect the area during daily activities and showers.
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