Vascular Access

Bharat B. Sutariya William A. Berk

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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

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Complications

V.a.scu!a.r.A.cces.s..in. Children sca!p..Vein..Access Umbilica.l. .Vein. .Access

ArtenalAccess

Assessment. .andnComplications Technique

Special Problems Related to Venous Access

Complications ..of. Total-Parenteral .Nutrition Accessing ..indwelling,. .Catheters

Chapter References

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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