Bharat B. Sutariya William A. Berk
VascularAccess..by.Endotrachea^ Issuesof .Fiow.DyMmi.cS
VenousAccessSites Techni.que..for, Peripherai.Venous.Access Complications
Centra! ..Ven,ous..Press,u,re,.. Ca.t.h.eteiisation...and... Monitoring Anatomy
Equipment.and.. Genera! ..Technique ..fo.LCen.t^a.i..Ven.o.u,s...C.aíhet.e^i.zatlon Complications
Technique ..of.. Commonly. .Used,.. Approaches
VenousCutdown intraosseous.. .Vascu!ar..Ac.cess Technique
V.a.scu!a.r.A.cces.s..in. Children sca!p..Vein..Access Umbilica.l. .Vein. .Access
Assessment. .andnComplications Technique
Special Problems Related to Venous Access
Complications ..of. Total-Parenteral .Nutrition Accessing ..indwelling,. .Catheters
Obtaining access to the venous and arterial circulation enables the administration of drug, crystalloid, and blood products and measurement of central venous and arterial pressures. About one-third—or more than 32 million emergency department (ED) patients each year—require vascular access. This chapter discusses indications, techniques, and potential complications of vascular access.
During resuscitation, venous access should be obtained at the site of the largest vein that is accessible without disrupting resuscitation. When peripheral sites are not available, central veins should be accessed for monitoring of central venous pressure or the administration of drugs directly into the central circulation.
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