RT Book, Section
A1 Kloesel, Benjamin
A1 Nasr, Viviane G.
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176459253
T1 Arterial 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=1176459253
RD 2024/04/25
AB FOCUS  POINTSArterial  catheterization  allows  continuous  blood  pressure  monitoring  and  facilitates  arterial  blood  sampling.Knowledge  of  anatomy,  advantages/disadvantages  of  different  cannulation  sites,  and  pitfalls  during  placement  and  interpretation  of  the  arterial  waveform  are  crucial.There  are  two  approaches  to  arterial  catheterization:  through  a  technique  in  which  a  guidewire  is  used  to  thread  a  catheter  into  the  vessel  and  through  a  direct  puncture  technique  in  which  only  one  wall  of  the  artery  is  punctured  and  the  catheter  is  directly  threaded  into  the  vessel.Ultrasound  can  facilitate  arterial  catheterization  and  has  been  shown  to  increase  the  chance  for  first-attempt  success  and  reduce  mean  attempts  to  success.Overdampening  and  underdampening  of  the  transducer  system  cause  incorrect  blood  pressure  readings  and  should  be  evaluated  with  the  “flush  test.”