RT Book, Section
A1 Butcher, Christian H.
A2 Levitov, Alexander B.
A2 Mayo, Paul H.
A2 Slonim, Anthony D.
SR Print(0)
ID 1125016884
T1 ULTRASOUND GUIDANCE FOR VASCULAR ACCESS
T2 Critical Care Ultrasonography, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179352-0
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1125016884
RD 2024/04/19
AB Vascular  access  procedures,  such  as  central  venous  and  arterial  catheterization,  are  commonly  performed  in  the  critical  care  setting.  An  estimated  5  million  central  venous  catheters  (CVCs)  are  placed  annually  in  the  United  States1  in  a  variety  of  settings,  including  critical  care  units,  emergency  departments,  operating  rooms,  and  in  outpatient  venues.  The  usual  indications  for  CVC  placement  are  to  assist  in  hemodynamic  monitoring;  as  a  route  for  the  administration  of  vasoactive  medications,  total  parenteral  nutrition,  or  other  vascular  irritants;  and  as  a  route  for  drawing  blood.  In  addition,  the  Surviving  Sepsis  guidelines  advocate  measuring  mixed  venous  oxygen  saturation  in  the  management  of  septic  shock,  which  could  ultimately  lead  to  increased  utilization  of  oximetric  CVCs.