Veins that are firm to
|
|
- Blake Ryan
- 5 years ago
- Views:
Transcription
1
2 Intravenous cannulation is a technique in which a cannula is placed inside a vein to provide venous access. Venous access allows sampling of blood as well as administration of fluids, medications, parenteral nutrition, chemotherapy, and blood products. The decision to obtain peripheral rather than central venous access depends upon clinical circumstances. In general, peripheral catheters are preferred when IV access is required for shorter periods, when direct access to the central circulation is unnecessary, and when smaller gauge catheters suffice. Peripheral access is generally safer, easier to obtain, and less painful than central access. In patients taking anticoagulants, peripheral access allows for direct compression of puncture sites and fewer hematoma-related complications compared with the sites used for central venous catheters. There are few contraindications to the placement of peripheral venous catheters. Most concern problems with cannulation at a specific site. The sole absolute contraindication is when appropriate therapy can be provided by a less invasive route (eg, orally).
3 Many sites can be used for peripheral intravenous (IV) access, and they vary in their ease of cannulation and potential risks. Site selection varies according to clinical circumstances, expected duration of treatment, and the condition of the extremities. In general, distal extremity sites should be used first, saving more proximal sites for subsequent cannulation, if needed. Placing an IV in a vein distal to a site that was previously punctured can lead to extravasation of fluids and hematoma formation. Larger veins are generally more easily cannulated and are preferable to smaller veins in the same region. Veins of the upper extremity are preferred due to the increased risk of thrombosis and thrombophlebitis with venous cannulation of the lower extremities. Whenever possible, avoid using the dominant upper extremity. Contraindications to the use of a particular extremity include the presence of an arteriovenous fistula (catheter can alter venous blood flow or damage the fistula) and a history of mastectomy or lymph node dissection (catheter can exacerbate impaired lymphatic drainage). Venous catheter placement should be avoided at a site that may interfere with an anticipated procedure (eg, an injured extremity that requires surgery).
4 Veins that are firm to palpation may be sclerosed (eg, from IV drug abuse) and should be avoided as should veins with evidence of phlebitis or thrombosis. Venous puncture at sites where catheter placement was recently attempted should also be avoided, especially if a hematoma formed (ie, vein was "blown") following the previous attempt. Placement of an IV through infected tissue is not advised due to the risk of introducing a systemic infection. In addition, peripheral IV catheters should not be placed through burned tissue or in extremities with massive edema. Sites over joints (eg, cubital fossa) should be avoided if possible due to the increased risk of catheter dislodgement and kinking, and the need to then immobilize the joint to reduce these risks. Peripheral IV catheters used for trauma resuscitation are an exception to this rule and are routinely placed in the larger veins of the cubital fossa. The veins of the dorsum of the hand are often the most accessible sites for peripheral cannulation. As an example, the dorsal metacarpal veins are usually visible and palpable and make good sites for IV catheter placement. These veins merge into the dorsal venous network (or arch) and then form the cephalic vein, which runs along the lateral distal forearm.
5
6
7 The antecubital fossa, though not a primary choice for nonemergent IV access, contains several accessible veins, including the cephalic, median cubital, and basilic. These veins are usually large and easily cannulated and provide a useful option when emergent IV access is needed. Veins in the proximal arm are more safely cannulated using ultrasound guidance. If catheter placement is attempted in these proximal veins without ultrasound guidance, there is an increased risk of arterial puncture and nerve injury. In addition to the arm, leg and neck veins can be used to obtain peripheral IV access. The external jugular vein, which drains into the subclavian, is a large vein in the neck that is easily cannulated, even in patients with severe volume depletion or otherwise poor extremity access. Placing the patient's bed in a head-down (ie, Trendelenburg) position or having them perform a Valsalva maneuver often enlarges the vein making cannulation easier. Veins of the leg, including the greater saphenous vein at the level of the medial malleolus and the dorsal metatarsal veins on the dorsum of the foot, are often accessible. However, lower extremity sites should be used only if veins in the arm cannot be cannulated.
8
9
10 Keep the patient warm and relaxed; both excessive cold and anxiety stimulate the sympathetic nervous system and can cause vasoconstriction of superficial vessels, thus making cannulation more difficult. If a topical anesthetic is used, allow sufficient time for it to take effect. If possible, use the patient's nondominant extremity to reduce inconvenience and the effect of extravasation, should it occur. If possible, place patients in supine position to avoid lightheadedness from pain or the sight of blood. Placing the anticipated cannulation site below the level of the heart uses gravity to reduce venous return, which causes blood to pool and veins to distend. Lightly tapping or gently stroking the vein along its length in a proximal to distal direction causes venous distension.
11 Elevating skin temperatures to 39 to 42 C at the cannulation site causes venous dilation. This can be accomplished by placing the site in warm water or by applying a warm compress (eg, warm moist cloths, warming packs, heated carbon fiber mitts). Proximal compression, most often using a thin rubber tourniquet placed 5 to 10 cm proximal to the anticipated venipuncture site, impedes venous return and enhances venous dilation. Another simple, effective way to dilate veins consists of having the patient alternately clench and relax their fist. Nitroglycerin ointment applied to the venipuncture site and left for two minutes causes venous dilation and does not appear to cause deleterious changes in blood pressure, even in hypotensive patients.
12
13
14
15
16 *SWG (Standard Wire Gauge) *FG (French Gauge)
17
18
19
20
21
22
23
24
25
26
27
KINGSTON GENERAL HOSPITAL NURSING POLICY AND PROCEDURE
KINGSTON GENERAL HOSPITAL NURSING POLICY AND PROCEDURE SUBJECT Sample (Adult): Advanced Competency (AC) for Nurses (Registered Nurses and Registered Practical Nurses) PAGE 1 of 5 ORIGINAL ISSUE 1985 January
More informationVascular access device selection & placement. Alisa Seangleulur, MD Anesthesiology Department, Faculty of Medicine, Thammasat University
Vascular access device selection & placement Alisa Seangleulur, MD Anesthesiology Department, Faculty of Medicine, Thammasat University How to make the right choice of vascular access device.. Peripheral
More informationPeripheral Vascular Examination. Dr. Gary Mumaugh Western Physical Assessment
Peripheral Vascular Examination Dr. Gary Mumaugh Western Physical Assessment Competencies 1. Inspection of upper extremity for: size symmetry swelling venous pattern color Texture nail beds Competencies
More informationUpper Extremity Venous Duplex. Michigan Sonographers Society Fall Ultrasound Symposium October 15, 2016
Upper Extremity Venous Duplex Michigan Sonographers Society Fall Ultrasound Symposium October 15, 2016 Patricia A. (Tish) Poe, BA RVT FSVU Director of Quality Assurance Navix Diagnostix Patricia A. Poe
More informationVENOUS DRAINAGE O US F UPPER UPPER LIM B BY dr.fahad Ullah
VENOUS DRAINAGE OF UPPER LIMB BY dr.fahad Ullah Venous drainage of the supper limb The venous system of the upper limb drains deoxygenated blood from the arm, forearm and hand It can anatomically be divided
More informationUltrasound Guided Vascular Access. 7/25/2016
Ultrasound Guided Vascular Access 7/25/2016 www.ezono.com 1 Objectives Indications for insertion of central and peripheral lines Complications associated with procedures Role of ultrasound in vascular
More informationCentral Venous Line Insertion
Central Venous Line Insertion Understand the indications and risks of CVC insertion Understand and troubleshoot the seldinger technique Understand available sites and select the appropriate site for clinical
More informationVenous access for either diagnostic or interventional
Right Heart Catheterization Via the Radial Route Transradial access to the central venous system. BY IAN C. GILCHRIST, MD, FACC, FSCAI Venous access for either diagnostic or interventional procedures can
More informationDr. prakruthi Dept. of anaesthesiology, Rrmch, bangalore
CENTRAL VENOUS CATHETERIZATION Dr. prakruthi Dept. of anaesthesiology, Rrmch, bangalore OBJECTIVES Introduction Indications and Contraindications Complications Technique Basic principles Specifics by Site
More informationIf viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.
If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Code: D: PC-5575 Entity: Fairview Pharmacy Services
More informationKINGSTON GENERAL HOSPITAL VENIPUNCTURE LEARNING GUIDE
KINGSTON GENERAL HOSPITAL VENIPUNCTURE LEARNING GUIDE Prepared by: Date: Revised: Nursing Education 1992 January 2011 March Page 2 This learning guide has been developed by Kingston General Hospital Nursing
More informationArterial Puncture Wrist
Arterial Puncture Wrist Part No: KKM99 Radial artery puncture is a common approach for blood collection and artery catheterization, and this simulator provides realistic training in this skill. Palpation
More informationIV therapy. By: Susan Mberenga, RN, MSN. Copyright 2016, 2013, 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc.
IV therapy By: Susan Mberenga, RN, MSN 1 IV Therapy Types of solutions Isotonic Hypotonic Hypertonic Caution: Too rapid or excessive infusion of any IV fluid has the potential to cause serious problems
More informationArterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS
Arterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS Assistant Professor of Surgery Vascular Endovascular Surgery Louisiana State University Health - Shreveport Disclosures None Objective
More informationFind From Varicose Veins. VenaSeal
Find Relief From Varicose Veins VenaSeal Closure System Understand Varicose veins may be a sign of something more severe venous reflux disease. Your doctor can help you understand if you have this condition.
More informationFor exam: VL DUPLEX EXTREMITY VEINS UNILAT LT
For exam: VL DUPLEX EXTREMITY VEINS UNILAT LT - 8870390 METHOD/TECHNIQUE: The veins of the left upper extremity were studied at multiple For exam: VL DUPLEX EXTREMITY VEINS UNILAT RT - 8870400 METHOD/TECHNIQUE:
More informationFIND RELIEF FROM VARICOSE VEINS. VenaSeal Closure System
FIND RELIEF FROM VARICOSE VEINS VenaSeal Closure System UNDERSTAND Varicose veins may be a sign of something more severe venous reflux disease Your doctor can help you understand if you have this condition.
More informationRadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.
Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant Week of October 22, 2018 Paracentesis & Transjugular Liver Biopsy
More informationVascular Disorders of the Hand Self-Assessment. Hand Vascular Disorders
Vascular Disorders of the Hand Self-Assessment 1. The patency rate of repairing a radial artery laceration with an intact palmar arch using modern microsurgical techniques is: A. 20% B. 40% C. 60% D. 80%
More informationVenous drainage of the lower limb
Venous drainage of the lower limb INTRODUCTION It is of immense clinical and surgical importance. The venous blood against gravity. FACTORS HELPING THE VENOUS DRAINAGE OF THE LOWER LIMB The contraction
More informationArterial Puncture Wrist
U.S. Toll Free 866-GOLIMBS Venipuncture Arterial Puncture Wrist Part No: KKM99 Radial artery puncture is a common approach for blood collection and artery catheterization, and this simulator provides realistic
More informationCollection of Blood Specimens. To provide instructions on correctly collecting blood specimens via vacutainer.
Page 1 of 9 Purpose: To provide instructions on correctly collecting blood specimens via vacutainer. Equipment: Tourniquet-one time use only Vacutainer holder Sterile multi-specimen needle Gauze swab Appropriate
More informationArterial Line Insertion Pre Reading
PROCEDURE ACCREDITATION THE CANBERRA HOSPITAL EMERGENCY DEPARTMENT Arterial Line Insertion Pre Reading Indications Requirement for continuous blood pressure monitoring (all patients on pressors, inotropes,
More informationYOU MUST BRING GLOVES FOR THIS ACTIVITY
ACTIVITY 10: VESSELS AND CIRCULATION OBJECTIVES: 1) How to get ready: Read Chapter 23, McKinley et al., Human Anatomy, 5e. All text references are for this textbook. 2) Observe and sketch histology slide
More informationVESSELS: GROSS ANATOMY
ACTIVITY 10: VESSELS AND CIRCULATION OBJECTIVES: 1) How to get ready: Read Chapter 23, McKinley et al., Human Anatomy, 4e. All text references are for this textbook. 2) Observe and sketch histology slide
More informationInt J Adv Med. For your questions please send message to
Int J Adv Med SPECTRUM OF VASCULAR ABNORMALITIES IN COLOR DOPPLER EXAMINATION OF UPPER EXTREMITIES TESTED FOR SUITABLITY FOR AV FISTULA CREATION IN PATIENTS OF RENAL FAILURE. Journal Name : International
More informationINDICATION: Patients in renal failure who require an arterio-venous fistula for hemodialysis.
Duplex of Upper Extremity Vessels prior to AVF Surgery OLYMPIC VASCULAR LAB SURGICAL ASSOCIATES Chris Griffith MD, James Reus MD, Kevin Robinson MD, Richard Krug MD Diane Seagroves RVT MEMORIAL NEPHROLOGY
More informationAVF 2010 OLYMPIC VASCULAR LAB SURGICAL ASSOCIATES
Duplex of Upper Extremity Vessels prior to AVF Surgery Revised January 2010 OLYMPIC VASCULAR LAB SURGICAL ASSOCIATES Chris Griffith MD, James Reus MD, Kevin Robinson MD, Richard Krug MD Diane Seagroves
More informationParkland Health & Hospital System Women & Infant Specialty Health
Parkland Health & Hospital System Women & Infant Specialty Health NS 1700.04 Nursery Services Procedure Manual Arterial Puncture Practice Statement Upon the written order of the provider, the credentialled
More informationWhat vascular access for which patient : obesity
What vascular access for which patient : obesity C. Sessa, J. Coudurier A. De Lambert, C. Ducos, M. Guergour, O. Pichot Department of Vascular Surgery Grenoble France Controversies & Updates in Vascular
More informationKristin Wise, MD, FHM Division of General Internal Medicine and Geriatrics Hospital Medicine 2013
Kristin Wise, MD, FHM Division of General Internal Medicine and Geriatrics Hospital Medicine 2013 Objectives for CVC Placement Understand the indications and contraindications Determine appropriate CVC
More informationUSE OF INTRAVENOUS ACCESS IN RESUSCITATION SITES, TECHNIQUES, POTENTIAL COMPLICATIONS
USE OF INTRAVENOUS ACCESS IN RESUSCITATION SITES, TECHNIQUES, POTENTIAL COMPLICATIONS OBJECTIVES Overview Peripheral Venous Access Sites Techniques Potential Complications Central Lines Sites Seldinger
More informationPer-Q-Cath* PICC Catheters with Excalibur Introducer* System
Bard Access Systems Per-Q-Cath* PICC and Catheters with Excalibur Introducer* System Instructions For Use Table of Contents Table of Contents Page Contents 1 Product Description, Indications & Contraindications
More informationCOMPLETION PROJECT POSITIONING THE PATIENT IN THE OR Source- Alexander s Care of the Patient in Surgery
COMPLETION PROJECT POSITIONING THE PATIENT IN THE OR Source- Alexander s Care of the Patient in Surgery Name Date 1. The systems involved with anesthesia, positioning and operative procedures are: a. b.
More informationCardiac Catheterization
Cardiac Catheterization What is cardiac catheterization? Cardiac catheterization is a procedure used to diagnose and treat cardiovascular conditions. During cardiac catheterization, a long thin tube called
More informationBio& 242, Unit 3/ Lab 4 Blood Vessels, Lymphatic System and Blood Pressure G. Blevins/ G. Brady Summer 2009
Bio& 242, Unit 3/ Lab 4 Blood Vessels, Lymphatic System and Blood Pressure G. Blevins/ G. Brady Summer 2009 Major Arteries and for arteries and veins with common names your answer must include either artery
More informationSelf-Study Module CLINICAL EDUCATION
RADIOLOGY TECHNOLOGIST INTRAVENOUS SKILLS Self-Study Module CLINICAL EDUCATION Module Developed by: University Hospital Clinical Educators For additional information regarding classes offered by Clinical
More informationBackground & Indications Probe Selection
Teresa S. Wu, MD, FACEP Director, EM Ultrasound Program & Fellowship Co-Director, Simulation Based Training Program & Fellowship Associate Program Director, EM Residency Program Maricopa Medical Center
More informationBATES VISUAL GUIDE TO PHYSICAL EXAMINATION. Vol. 11: Peripheral Vascular System
BATES VISUAL GUIDE TO PHYSICAL EXAMINATION Vol. 11: Peripheral Vascular System Hello, Mrs. Roth, welcome to our clinic. Thank you. Your learning objectives for mastering the examination of the Peripheral
More informationThree Vein Pad - Venepuncture. Extended ACF Pad - Venepuncture
ACF Pad - Part No: 00140 A soft tissue strap-on pad for use in venepuncture which represents the antecubital fossa of the right arm. Recognition of the vein pattern through palpation Introduction of a
More informationIntravenous Catheter Complications
Vascular Access Device-Related Infection Inadequate skin antisepsis prior to VAD insertion Acute onset of fever, chills, and hypotension. No other apparent source of Notify Prescriber immediately Obtain
More informationSuccessful IV Starts Revised February 2014
Successful IV Starts Revised February 2014 Why Intravenous Therapy? Used for access to the body s circulation Indications: Administer fluids, blood, medications, and nutrition Obtain laboratory specimens
More informationBlood Sampling: Venipuncture
Approved by: Blood Sampling: Venipuncture Gail Cameron Senor Director, Operations, Maternal, Neonatal & Child Health Programs Dr. Paul Byrne Medical Director, Neonatology Neonatal Nursery Policy & Procedures
More informationValue Life Lifecath Midli n e uide to Lifecath Midline rse s G u N A
Value Life Lifecath Midl ine A Nurse s Guide to Lifecath Midline www.vygon.co.uk vygon@vygon.co.uk Useful Information Lifecath Midline Lifecath Midline Catheter Code: 1296 Peelable Cannula Introducer
More informationDay 5 Respiratory & Cardiovascular: Respiratory System
Day 5 Respiratory & Cardiovascular: Respiratory System Be very careful not to damage the heart and lungs while separating the ribs! Analysis Questions-Respiratory & Cardiovascular Log into QUIA using your
More informationLymphatic Facilitation for Athletic Injuries. Director of Instruction Discoverypoint School of Massage Seattle WA
Lymphatic Facilitation for Athletic Injuries Pat Archer ATC, LMP Director of Instruction Discoverypoint School of Massage Seattle WA Lymphatic Facilitation A specific lymphatic technique proven as an easy
More informationUltrasound Guidance Needle Techniques
Ultrasound Guidance Needle Techniques Dr TANG Ho-ming AED/UCH USG Guidance Needle Techniques Commonly used in EM 1. Vessel cannulation-peripheral & central 2. Foreign body removal 3. Peripheral nerve/plexus
More informationSelection of Permanent Hemodialysis Vascular Access
Selection of Permanent Hemodialysis Vascular Access TABLE OF CONTENTS 1.0 Scope...1 2.0 Recommendations & Rationale... 2 3.0 References... 3 4.0 Sponsors... 9 5.0 Effective Date... 10 Appendix 1: Key Elements
More information3 Circulatory Pathways
40 Chapter 3 Circulatory Pathways Systemic Arteries -Arteries carry blood away from the heart to the various organs of the body. -The aorta is the longest artery in the body; it branches to give rise to
More informationCase #1. Case #1- Possible codes. Unraveling the -59 modifier. Principles of Interventional. CASE 1: Simple angioplasty
Unraveling the -59 modifier Principles of Interventional Coding Donald Schon, MD, FACP Debra Lawson, CPC, PCS Distinct or independent from other services performed on the same day Normally not reported
More informationHow varicose veins occur
Varicose veins are a very common problem, generally appearing as twisting, bulging rope-like cords on the legs, anywhere from groin to ankle. Spider veins are smaller, flatter, red or purple veins closer
More informationFistula/Graft Protection. Leslie Dork Renal Medicine Associates
+ Fistula/Graft Protection Leslie Dork Renal Medicine Associates + Disclaimer Renal Medicine Associates employee I have no conflicts of interest. + Access failure Infections Infiltrations Stenoses/Thrombosis
More informationUpper Extremity Venous Duplex Evaluation
VASCULARTECHNOLOGY PROFESSIONAL PERFORMANCE GUIDELINES Upper Extremity Venous Duplex Evaluation This Guideline was prepared by the Professional Guidelines Subcommittee of the Society for Vascular Ultrasound
More informationDrawing Blood From the Llama (Venipuncture)
Drawing Blood From the Llama (Venipuncture) Drawing blood (venipuncture) in the llama is more difficult than in common domestic animals. Their wooly fleece impairs visibility when you try to locate the
More informationEffective Date: Approved by: Laboratory Executive Director, Ed Hughes (electronic signature)
1 Policy #: 406 (PLH-406-02) Effective Date: NA Reviewed Date: 2/1/2008 Subject: VENIPUNCTURE PROCEDURE Approved by: Laboratory Executive Director, Ed Hughes (electronic signature) Approved by: Laboratory
More informationPHLEBOTOMY I N P R I M A R Y C A R E
PHLEBOTOMY I N P R I M A R Y C A R E DEFINITION Venepuncture is the practice of introducing a needle into a vein to obtain a sample of circulating blood. It is performed in a wide variety of clinical areas
More informationMisc Anatomy. Upper Limb! 2. Lower Limb! 5. Venous Drainage! Head & neck! 8
Misc Anatomy Upper Limb! 2 Arteries!... 2 Veins!... 2 Spaces!... 4 Lower Limb! 5 Arteries!... 5 Venous Drainage!... 6 Spaces!... 7 Head & neck! 8 Artery!... 8 Ultrasound View for IJ CVL!... 8 Arteries
More informationClinical Examination of VASCULAR PATIENTS. Stephanie Hirst & Alexander Sunde
Clinical Examination of VASCULAR PATIENTS Stephanie Hirst & Alexander Sunde Goals of Medical History To record the patient s symptoms at time of presentation. To organize the events which have lead to
More informationTechnique of the VenaSeal System
Technique of the VenaSeal System Indication & Contraindications VenaSeal Indication: The Sapheon VenaSeal System is intended for the permantent, complete, endovascular adhesive closure of the great saphenous
More informationThe role of ultrasound duplex in endovenous procedures
The role of ultrasound duplex in endovenous procedures Neophytos A. Zambas MD, PhD Vascular Surgeon Polyclinic Ygia, Limassol, Cyprus ΚΕΑΕΧ ΚΥΠΡΙΑΚΗ ΕΤΑΙΡΕΙΑ ΑΓΓΕΙΑΚΗΣ ΚΑΙ ΕΝΔΑΓΓΕΙΑΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ Pre
More informationTHE popliteal artery is the second most common site of aneurysm. The
POPLITEAL ANEURYSM Treatment by Vein Graft: Case Report A. W. HUMPHRIES, M.D. Department of Orthopedic Surgery F. A. LeFEVRE, M.D. and V. G. dewolfe, M.D. Department of Cardiovascular Disease THE popliteal
More informationFIND RELIEF FROM VARICOSE VEINS. VenaSeal Sapheon Closure System
FIND RELIEF FROM VARICOSE VEINS VenaSeal Sapheon Closure System UNDERSTAND Varicose veins may be a sign of something more severe. Your doctor can help you understand if you have this condition. may cause
More informationCentral Venous Access Devices. Stephanie Cunningham Amy Waters
Central Venous Access Devices Stephanie Cunningham Amy Waters 5 Must Know Facts About CVAD s 1) What are CVAD s? 2) What are CVAD s used for? 3) How are these devices put in? 4) What are the complications
More informationCatheter-directed Thrombolysis
Scan for mobile link. Catheter-directed Thrombolysis Catheter-directed thrombolysis treats vascular blockages and improves blood flow by dissolving abnormal blood clots. A blood clot, or thrombus, can
More informationTHE VESSELS OF BLOOD CIRCULATION
THE VESSELS OF BLOOD CIRCULATION scientistcindy.com /the-vessels-of-blood-circulation.html NOTE: You should familiarize yourself with the anatomy of the heart and have a good understanding of the flow
More informationPeel-Apart Percutaneous Introducer Kits for
Bard Access Systems Peel-Apart Percutaneous Introducer Kits for Table of Contents Contents Page Bard Implanted Ports Hickman*, Leonard*, Broviac*, Tenckhoff*, and Groshong* Catheters Introduction....................................
More informationComplications Associated With IV Therapy
Occlusion is the partial or complete obstruction of a catheter, which obstructs the infusion of solutions or medications. Occlusions can result from the coagulation of blood (thrombotic) or from obstruction
More informationHow to perform of upper limb ct venography preparing arterio venous fistula for hemodialysis?
How to perform of upper limb ct venography preparing arterio venous fistula for hemodialysis? Poster No.: C-1306 Congress: ECR 2016 Type: Educational Exhibit Authors: S. Kouki, W. Aloui, B. Gmiha ; MONTFLEURY/TN,
More informationAIUM Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 AIUM Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures Parameter
More informationPREVENTION AND TREATMENT OF ANEURYSMS OF AUTOGENOUS DIALYSIS ACCESSES STEPHEN L. HILL, M.D.,F.A.C.S
PREVENTION AND TREATMENT OF ANEURYSMS OF AUTOGENOUS DIALYSIS ACCESSES STEPHEN L. HILL, M.D.,F.A.C.S THE INCREASE IN THE CONSTRUCTION OF AUTOGENOUS FISTULAE OVER THE PAST TEN YEARS HAS BROUGHT WITH IT 1.
More informationThese signs may be observed, measured, and monitored to assess an individual's level of physical functioning.
Theory: I. Vital signs A. Pulse B. Blood pressure (BP) C. Respiratory rate (RR) D. Temperature E. Saturation These signs may be observed, measured, and monitored to assess an individual's level of physical
More informationEZ-IO. Offline Reading Download as PDF. Welcome. Introduction. Anatomy and Physiology. Indications. Paediatric Considerations.
EZ-IO Acknowledgement This training package was created by David Funnell, Joseph Schar, and Jordan Pring. Please direct any questions to your CSO or Team Leader. Offline Reading Download as PDF Welcome
More informationSid Bhende MD Sentara Vascular Specialists April 28 th Dialysis Access Review: Understanding the Access Options our Patients Face
Sid Bhende MD Sentara Vascular Specialists April 28 th 2018 Dialysis Access Review: Understanding the Access Options our Patients Face Disclosures Dialysis Background Why is it important? Outline National
More informationTYPES AND USES OF VENOUS ACCESS DEVICES
FOR HEALTHCARE PROVIDER USE ONLY. THIS INFORMATION IS FOR REFERENCE PURPOSES ONLY AND DOES NOT TYPES AND USES OF VENOUS ACCESS DEVICES PERIPHERAL DEVICES 1 Typically inserted in the hand, arm, or foot
More informationExternal Ref: Andres, D.A., et al. Catheter Pinch-Off Syndrome: Recognition and Management.
Department Policy Code: D: PC-5530 Entity: Fairview Pharmacy Services Department: Fairview Home Infusion Manual: Policy and Procedure Manual Category: Home Infusion Subject: Complications With Intravenous
More informationFLEXIC ATH LTD. Peripherally Inserted. Instructions n For Use.
FLEXIC ATH LTD * M/29M Peripherally Inserted Catheter Instructions n For Use This leaflet contains instructions for both stan- dard needle-introducer er and protection con- tained M/29 models, i.e., with
More informationVictoria Chapman BS, RN, HP (ASCP)
Victoria Chapman BS, RN, HP (ASCP) Considerations: Age Sex Body Composition Hydration Status Chemotherapy Use Access History Considerations: Immunosuppression Use Chemotherapy Frequency of plasma exchanges
More informationIntroduction to the Native Arteriovenous Fistula: A primer for medical students and radiology residents
Introduction to the Native Arteriovenous Fistula: A primer for medical students and radiology residents Jesus Contreras, D.O. PGY-4 John Yasmer, D.O. Department of Radiology No Disclosures Objectives Introduce
More informationSurgical Options for revascularisation P E T E R S U B R A M A N I A M
Surgical Options for revascularisation P E T E R S U B R A M A N I A M The goal Treat pain Heal ulcer Preserve limb Preserve life The options Conservative Endovascular Surgical bypass Primary amputation
More informationLecture 2: Clinical anatomy of thoracic cage and cavity II
Lecture 2: Clinical anatomy of thoracic cage and cavity II Dr. Rehan Asad At the end of this session, the student should be able to: Identify and discuss clinical anatomy of mediastinum such as its deflection,
More informationCertificate in Clinician Performed Ultrasound (CCPU) Syllabus. Vascular Access (venous (peripheral and central) and arterial)
Certificate in Clinician Performed Ultrasound (CCPU) Syllabus Vascular Access (venous (peripheral and central) and arterial) Page 1 of 8 04/16 Vascular Access (venous (peripheral and central) and arterial)
More informationProximal forearm fistula for maintenance hemodialysis
Kidney International, Vol. /1(1977) p. 71 74 TECHNICAL NOTE Proximal forearm fistula for maintenance hemodialysis KENNETH C. GRACZ, TODD S. ING, LIAN-SEN SOUNG, KENT F. W. ARMBRUSTER, SANDRA K. SEIM, and
More informationWhich Artery am I? I am one of two smaller arteries that arise from the brachial. I supply blood to the medial aspect of the forearm.
I am one of two smaller arteries that arise from the brachial. I supply blood to the medial aspect of the forearm. A. I supply blood to the head and neck. I am large and will branch into two smaller arteries.
More information1/22/2016. Objectives. Vascular Access Devices
Objectives 1. Discuss selection of appropriate vascular access device based on type and duration of prescribed therapy 2. Demonstrate correct procedure for short peripheral IV insertion including: preparation
More informationDeep Vein Thrombosis
Deep Vein Thrombosis Introduction Deep vein thrombosis (DVT) is a blood clot in a vein. This condition can affect men and women of any age and race. DVT is a potentially serious condition. If not treated,
More informationPreservation of Veins and Timing for Vascular Access
Preservation of Veins and Timing for Vascular Access Vassilis Liakopoulos, MD, PhD Department of Nephrology School of Medicine University of Thessaly Greece Hemodialysis VA A sound long-term dialysis access
More informationAnesthetic Options for Patients Undergoing Dialysis Access Procedures Derek T. Woodrum, M.D. University of Michigan Hospitals, Ann Arbor, MI
Session: L151 Session: L234 Anesthetic Options for Patients Undergoing Dialysis Access Procedures Derek T. Woodrum, M.D. University of Michigan Hospitals, Ann Arbor, MI Disclosures: This presenter has
More informationVessels. Clinical correlations. Published on Second Faculty of Medicine, Charles University (
Published on Second Faculty of Medicine, Charles University ( https://www.lf2.cuni.cz) LF2 > Vessels Vessels The test on the vessels and lymphatic system is in written format and follows the general rules
More informationAppendix E: Overview of Vascular
Appendix E: Overview of Vascular 56 Peripheral Short Catheter, less than 3 inches (7.5 cm) in length; over-the-needle catheter is most common. Inserted by percutaneous venipuncture, generally into a hand
More informationYou have a what, inside you?
Costal Emergency Medicine Conference You have a what, inside you? Less than mainstream medical devices encountered in the ED. Eric Ossmann, MD, FACEP Associate Professor Duke University Medical Center
More informationFemoral Artery. Its entrance to the thigh Position Midway between ASIS and pubic symphysis
Lower Limb Vessels Lecture Objectives Describe the major arteries of the lower limb. Describe the deep and superficial veins of the lower limb. Describe the topographical relationships of the arteries
More informationSurgical Options in Thrombectomy for Non-Surgeons
Surgical Options in Thrombectomy for Non-Surgeons Shouwen Wang, MD, PhD, FASDIN AKDHC Ambulatory Surgery Center Arizona Kidney Disease and Hypertension Center Phoenix, Arizona Disclosure No relevant financial
More informationEMS Subspecialty Certification Review Course. Conflict of Interest Disclosure. Learning Objectives
EMS Subspecialty Certification Review Course Cardiovascular 1.4.2.2 Placement of peripheral IV lines 1.4.2.2.1 Access or Placement of Central Venous Lines in the field 1.4.2.2.2 Intraosseous lines 1.4.2.2.3.
More informationAV ACESS COMPLICATIONS. Ass. Prof. Dr. Habas
AV ACESS COMPLICATIONS Ass. Prof. Dr. Habas COMPLICATION AVF IS CONSIDERED A MINOR PROCEDURE INCIDENCE OF COMPLICATION- 20-27% MANY A COMPLICATION LEADS TO FAILURE OF FISTULA LOSS OF SITE AND VEIN FOR
More informationDefinition of anatomy 1 Questions 5
Contents Chapter 1: Introduction 1 5 Definition of anatomy 1 Questions 5 Chapter 2: Skeletal System 6 74 Skeleton 6 Skeletal system 8 Bones of superior extremity 12 Articulated skeleton of hand 17 Clinical
More informationMODULE 9 ARTERIAL AND VENOUS CATHETERIZATION. Robert B. McLafferty M.D. Southern Illinois University
MODULE 9 ARTERIAL AND VENOUS CATHETERIZATION Robert B. McLafferty M.D. Southern Illinois University I. OBJECTIVES By the end of this laboratory session the residents should be able to A. Identify the anatomic
More informationLESSON ASSIGNMENT. Emergency Surgical Procedures. After completing this lesson, you should be able to:
LESSON ASSIGNMENT LESSON 3 Emergency Surgical Procedures. LESSON ASSIGNMENT Paragraphs 3-1 through 3-6. LESSON OBJECTIVES After completing this lesson, you should be able to: 3-1. Identify the steps in
More informationSTRUCTURAL BASIS OF MEDICAL PRACTICE EXAMINATION 5 October 6, 2006
STRUCTURAL BASIS OF MEDICAL PRACTICE EXAMINATION 5 October 6, 2006 PART l. Answer in the space provided. (8 pts) 1. Identify the structures. (2 pts) B C A. _pisiform B. _ulnar artery A C. _flexor carpi
More informationBASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUST. Clinical Policy for Peripheral Venous Cannula Insertion and Management (Adults)
BASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUST Clinical Policy for Peripheral Venous Cannula Insertion and Management (Adults) Reviewed in accordance with The Health and Social Care Act 2008: Code
More informationDisclosures: Image Guided Procedures Pearls, Pitfalls, and Disasters. Central Venous Access. Outline:
Image Guided Procedures Pearls, Pitfalls, and Disasters Disclosures: I have nothing to disclose Miles B. Conrad MD, MPH Clinical Assoc. Prof of Radiology Section: IR Outline: Image Guided Procedures Pearls,
More information