Artery

"Arterial Line Placement" by James DiNardo, MD, FAAP for OPENPediatrics

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• published: 17 Feb 2016
• views: 1565

Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause. Hi, my name is Jim DiNardo. I am an associate professor of anesthesia at Harvard Medical School and I’m one of the cardiac anesthesiologists and cardiac ICU attendings here at Children's Hospital Boston. We are going to be talking about arterial pressure monitoring today, specifically placement of arterial pressure monitoring catheters. Indications: The indications for placing an arterial line include patients who require continuous blood pressure monitoring, such as those who: are hemodynamically unstable, require vasoactive agents or active volume resuscitation, or in whom non-invasive blood pressure monitoring is unreliable or unobtainable. Patients who require significant respiratory support and need frequent lab sampling, including regular arterial blood gases. But these indications must be weighed against the potential risks: infection, trauma to the artery, potential thrombosis, hematoma. Contraindications: Some healthcare providers would refrain from performing this procedure in patients with: infection at the insertion site, traumatic injury proximal to the insertion site, inadequate collateral circulation of the extremity indicated by a failed Allen’s test. Complications: The complications that you may observe include: infection, trauma to the artery, thrombosis. Equipment: You will need the following equipment to perform the procedure: arm board, tape, chlorhexadine prep solution, arterial catheter, guidewire (we must make sure that the guidewire fits through the catheter), T-connector, sterile occlusive dressing, sterile gloves, sterile towels, transducer system, saline flush.