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Arterial and venous cannulation in the ICU 

Arterial and venous cannulation in the ICU
Chapter:
Arterial and venous cannulation in the ICU
Author(s):

Ronan O’Leary

and Andrew R. Bodenham

DOI:
10.1093/med/9780199600830.003.0130
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date: 24 September 2021

Despite being almost ubiquitous within the critically- ill population, vascular access remains a frequent cause of iatrogenic injury, manifested as both procedural complications and later events, such as infection and thrombosis. Untoward events are minimized by expert tuition and meticulous practical technique. Consensus guidelines on training in vascular access are discussed. Vascular access, particularly central catheterization, should not be undertaken lightly. Can a patient be managed without vascular access or can the number of vascular access devices be rationalized? Other routes for drug and fluid administration exist, particularly enterally during the recovery phase. This chapter covers vascular access during critical illness and discusses the development of more advanced techniques.

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