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This casebook covers ultrasound guided vascular access with a focus on patient safety. Vascular access is the catalyst between provider and patient. Initially, patients were treated at hospitals for grave illnesses or terrible accidents; however, due to significant strides in medicine, the emerging hospitalized patient is now more commonly treated for chronic illnesses. For these patients, repeated hospital visits slowly deplete their vasculature, creating one of modern medicine’s greatest obstacles: vascular access. This book provides safe solutions to bedside clinical challenges from peripheral to tunneled central lines in the neonatal, pediatric, and adult patient populations.
Chapters present unique patient cases, incorporating the latest technology and techniques for safely and methodically meeting vascular access challenges, detailed discussions on therapeutic interventions, and trouble shooting. The book is structured so that each chapter builds on the last, offering peripheral, central, and tunneled catheter solutions through a standardized approach. Finally, each part features a COVID-19 case study including vascular access performed in the prone position.
This is an ideal guide for trainees, students, clinicians, and healthcare professionals performing ultrasound guided vascular access on patients.
Pages i-xvi
Front Matter
Pages 1-1
Ultrasound Guided Small-bore Peripheral Catheter Placement for Large Volume Therapeutic Phlebotomy
Pages 3-6
Infusion and Phlebotomy via the Femoral Vein in Outpatient Pediatrics
Pages 7-11
Ultrasound Guided Peripheral Intravenous Catheter to the Brachial Vein During a Rapid Response
Pages 13-16
Ultrasound Guided Long Peripheral Catheter to the Basilic Vein to Facilitate a Rapid Transfusion
Pages 17-21
Vascular Access in the Bariatric Patient
Pages 23-27
Use of the External Jugular Vein in the End Stage Renal Disease Patient
Pages 29-33
Administering Palliative Care with a Midline Catheter to the Superficial Femoral Vein
Pages 35-38
Pages 39-45
Netherton Syndrome and Use of the Cephalic Vein in the Forearm
Pages 47-51
Pages 53-55
Use of the Great Saphenous Vein in Pediatrics
Pages 57-60
Downgrading Central Venous Access with Dual Ipsilateral Midlines Catheters
Pages 61-65
Clinically Indicated Site Rotation in the Multifetal Pregnancy
Pages 67-72
Front Matter
Pages 73-73
Pseudo Tunneling: Ultrasound Guided Subcutaneous Single Puncture PICC Tunneling
Pages 75-79
Pages 81-86
Bedside PICC PORT Placement in the Patient with Sickle Cell Disease
Pages 87-91
Inadvertent Arterial Catheterization with a PICC in a 2-Year-Old with Cystic Fibrosis
Pages 93-99
PICC Insertion in the COVID-19 Patient with Related Thrombocytopenia with a Platelet Count of 1
Pages 101-106
Ipsilateral Axillary Arterial and Venous Catheter Placement in the Neurologically Compromised Infant
Pages 107-112
Front Matter
Pages 113-113
The Supraclavicular Approach to the Subclavian Vein
Pages 115-119
Central Access via the Brachiocephalic Vein in a 7-Month-Old
Pages 121-127
Emergent Ipsilateral Central Venous Access for Infusion and Dialysis in the COVID-19 Patient
Pages 129-133
Effective Use of the Jugular and Femoral Approach in the COVID-19 Patient
Pages 135-140
Catheter Malposition to the Accessory Hemiazygos Vein
Pages 141-150
Pages 151-158
Central Venous Access in the Pediatric Patient from an Anterior Jugular Approach
Pages 159-166
Pages 167-171
Front Matter
Pages 173-173
Use of the Superficial Femoral Vein in the Severely Contracted Patient
Pages 175-179
Central Venous Catheter Exchange in the Contracted COVID-19 Patient with Limited Vasculature
Pages 181-186
Use of the Mid-Thigh Femoral Central Venous Catheter in the Patient with End Stage Renal Disease
Pages 187-192
Pages 193-198
Emergent Femoral Arterial and Venous Catheter Placement in the Critically Ill Pediatric Patient
Pages 199-203
COVID-19: Central and Arterial Access in the Prone Position
Pages 205-210
Pages 211-215
Pages 217-222
Front Matter
Pages 223-223
Central Venous Pressure Monitoring Through a Tunneled Mid-Thigh Femoral Vein Triple Lumen Catheter
Pages 225-230
Bedside Tunneled Catheter Placement in the Emergency Department
Pages 231-235
Pages 237-242
Pages 243-248
Pages 249-256
Pages 257-263
Bedside Tunneled Dialysis Catheter Placement to the Internal Jugular Vein
Pages 265-270
Pages 271-277
Tandem Tunneled Femoral Vein Catheter Placement
Pages 279-284
Acute and Long-Term Tunneled Central Venous Access in a Patient with Chlorhexidine Gluconate Allergy
Pages 285-290
Subcutaneous Needle Tunneling in the Neonatal Population
Pages 291-296
Pages 297-301
Tunneling to the Calf in the Patient with Altered Mental Status
Pages 303-307
Pages 309-313
Vascular Access Challenges in the Complex Long Term Hospitalized Patient
Pages 315-324
Pages 325-334
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