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Vascular Cannulation

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Surgical Intensive Care Medicine

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Abstract

Vascular cannulation is an essential skill for the care of critically ill surgical patients. These accesses serve as a two-way street in many ways between provider and patient. As providers, we are able to administer fluids, medication nutrition, and even therapy. In turn, from these cannulae, we can obtain valuable patient information when used for hemodynamic monitoring and blood sampling. This chapter reviews arterial, central venous, and pulmonary artery catheterization. Evidence-based recommendations for prevention of nosocomial catheter-related infections are also discussed. Because the use of point-of-care ultrasound has become integral to vascular cannulation, ultrasound techniques are described, as well as specific recommendations for usage.

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Authors and Affiliations

  1. Department of Anesthesiology, University of Miami Miller School of Medicine, Ryder Trauma Center (T239A), 016370 (M-820), Miami, FL, 33101, USA

    Monique Espinosa MD, Shawn E. Banks MD & Albert J. Varon MD, MHPE

Authors
  1. Monique Espinosa MD
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  2. Shawn E. Banks MD
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  3. Albert J. Varon MD, MHPE
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Correspondence to Monique Espinosa MD .

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Editors and Affiliations

  1. Department of Surgical Critical Care; Lahey Hospital and Medical Center, Division of Surgery, Burlington, Massachusetts, USA

    John M. O'Donnell

  2. Surgical Critical Care Medicine, Pr�-Card�o Hospital, Critical Care Medicine, University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

    Flávio E. Nácul

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Espinosa, M., Banks, S.E., Varon, A.J. (2016). Vascular Cannulation. In: O'Donnell, J., Nácul, F. (eds) Surgical Intensive Care Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19668-8_3

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  • DOI: https://doi.org/10.1007/978-3-319-19668-8_3

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19667-1

  • Online ISBN: 978-3-319-19668-8

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