Invasive venous catheterization of critical patient - 2019
Venous catheterization is one of the most basic skills necessary for providing any further health care. Due to lack of knowledge and experience the patient may be endangered both during the procedure itself and by incorrect decisions and following complications as well. Our algorithm deals with all three basic methods for obtaining a venous acces in a model situation, where those are used sequentially considering current indications and contraindications. Essential technical approaches are depicted in step-by-step description for each method.
Review
Interactive algorithm 'Invasive venous catheterization of critical patient' is a comprehensive guide describing course of action for venous catheterization, stressing the correct technique for each method. The emphasis is also put on the intraosseous catheterization as the method of choice when the peripheral venous cannulation is not possible in the field. Emergency department subsequently enables us to cannulate the central vein using ultrasound guided technique. This algorithm describes the roles of aforementioned methods of venous catheterization and their practical use during the care of critical patient.
Sources
CHEUNG, Edward, Mark O. BAERLOCHER, Murray ASCH and Andrew MYERS. Venous access: A
practical review for 2009 [online]. NCBI, 2009 [cit. 2019-02-10]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2682308/?fbclid=IwAR08pgRKJt0uUWPwJHhmzsDPMx9apbpxG8KL2CPKAEY95zLlBAVTbmdZKMM
BUSTI, Anthony J, ed. Seldinger Technique for Intravenous (IV) Line Placement. Evidence-based
Medicine Consult [online]. [cit. 2019-02-10]. Available at: https://www.ebmconsult.com/articles/seldinger-technique-intravenous-iv-placement?fbclid=IwAR3v75zo3_WQQ9y7cGZ-eeloVuEkl4a2tadD9vA4hlra3ueD4n2JHIygg0Y#jump_ss_101890
Aseptic Technique & The Sterile Field. Infection Control Today [online]. April 01, 2005 [cit. 2019-02-10]. Available at: https://www.infectioncontroltoday.com/hand-hygiene/aseptic-technique-sterile-field?fbclid=IwAR3qXvq6EuyEgzqZymwVanMNh-loCYqCdRftQHO3rpeejymEhWdEmwCPFnE
DALEY, Brian J. Pneumothorax Clinical Presentation. Medscape [online]. 2018,
September 05, 2018 [cit. 2019-02-10]. Available at: https://emedicine.medscape.com/article/424547-clinical?fbclid=IwAR0LQBz3WxEVLOUd7kERat63rsOOm5FnD7kwozoStVErldnIdH_9H7SqJKY
NICKSON, Chris. Intraosseous access. Life in the Fast Lane [online]. 2015, 10 June 2015 [cit. 2019-02-10]. Available at: https://lifeinthefastlane.com/ccc/intraosseous-needle-insertion/
