RT Book, Section
A1 Hernandez, Jennifer
A1 Ullah, Sana
A1 Zabala, Luis M.
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176459167
T1 Intravenous Access
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176459167
RD 2024/04/24
AB FOCUS  POINTSEstablishing  and  maintaining  adequate  and  reliable  vascular  access  is  one  of  the  most  critical  aspects  of  pediatric  anesthesiology.Internal  jugular,  subclavian,  and  femoral  central  venous  access  sites  are  commonly  used  in  pediatrics.  Considerations  for  site  selection  include  indications  for  placement,  anticipated  duration,  patient-specific  factors,  and  operator  experience.Infectious  complications  can  be  markedly  reduced  with  universal  precautions  and  good  aseptic  technique.  Strict  sterile  barrier  precautions  should  be  employed  including  a  mask,  cap,  sterile  gown,  and  gloves.  Chlorhexidine  solutions  are  preferred  to  the  use  of  povidone-iodine  solutions  for  skin  preparation.Ultrasound  guidance  is  recommended  for  central  venous  cannulation  in  children.  It  is  also  commonly  used  during  placement  of  peripherally  inserted  central  catheters  and  difficult  peripheral  venous  line  placement.