Vascular access

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Placement and maintenance of vascular access comprise an important adjunct in the care of the critically ill obstetric patient. Establishing central venous and arterial access are acquired skills that require knowledge of catheter types, access routes, insertion techniques, and maintenance. Choosing the venous catheter type and the site for insertion is influenced by indication, duration of use, urgency of administration, and composition of the infusate. Three catheterization techniques are available to obtain vascular access: direct, modified, and classic Seldinger techniques. A wide range of immediate and delayed complications can be associated with central venous and arterial catheters. The chapter discusses specific complications, such as catheter malposition, thrombosis, stenosis, occlusion, and embolism, related to catheter use. The terms often used interchangeably to describe catheter-related infections are catheter-related bloodstream infection (CRBSI) and central line-associated bloodstream infection (CLABSI).

Original languageEnglish (US)
Title of host publicationCritical Care Obstetrics
Publisherwiley
Pages249-264
Number of pages16
ISBN (Electronic)9781119129400
ISBN (Print)9781119129370
DOIs
StatePublished - Jan 1 2018

Keywords

  • Arterial access
  • Catheter types
  • Catheterization techniques
  • Clabsi
  • Crbsi
  • Obstetric patient
  • Vascular access

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Olson, G., & Koutrouvelis, A. (2018). Vascular access. In Critical Care Obstetrics (pp. 249-264). wiley. https://doi.org/10.1002/9781119129400.ch14