Intravascular devices and catheters can be inserted in the intensive
care unit (ICU) for a variety of purposes, including fluid and drug
administration, pressure monitoring, pacemaking, or cardiac augmentation.
Several techniques can be used to obtain access to and cannulate
the vessel. Parenthetically, these same techniques can be used for
other procedures such as thoracentesis or paracentesis.
- ▪ Needle through catheter: Large bore needle inserted
into vessel and smaller bore catheter threaded through needle into
- ▪ Catheter over needle: smaller bore needle inserted into
vessel and large bore catheter threaded over needle into vessel
- ▪ Seldinger technique: Small bore needle inserted into vessel,
wire passed through needle into vessel, needle removed, catheter
threaded over wire into vessel, wire removed
- ▪ Modified Seldinger technique: Small bore needle inserted
into vessel, wire passed through needle into vessel, needle removed,
dilator/sheath passed over wire into vessel, wire and dilator removed,
catheter threaded through sheath into vessel, sheath removed
Log In to View More
If you don't have a subscription, please view our individual subscription options below to find out how you can gain access to this content.
Want remote access to your institution's subscription?
Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.
If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.
AccessAnesthesiology Full Site: One-Year Subscription
Connect to the full suite of AccessAnesthesiology content and resources including procedural videos, interactive self-assessment, real-life cases, 20+ textbooks, and more
Pay Per View: Timed Access to all of AccessAnesthesiology
24 Hour Subscription $34.95
48 Hour Subscription $54.95
Pop-up div Successfully Displayed
This div only appears when the trigger link is hovered over.
Otherwise it is hidden from view.