Emergent Vascular Access

Zusatztext

Critically ill patients can present to the emergency department (ED) or other care centers in extremely unstable condition, requiring immediate provider intervention to prevent further deterioration and death. Many aspects of care for these patients depend upon acquiring adequate and reliable vascular access early in the care episode, which places a high priority on obtaining vascular access rapidly following patient arrival. Modern medicine has extended the lives of patients with many previously lethal conditions, lengthening the time that patients can live with chronic diseases. Many of these conditions are also risk factors for difficult vascular access (DVA), leading to increased incidence and prevalence of DVA in the ED population. This book discusses emergent vascular access with a focus on the relevant anatomy, devices, and techniques as well as challenges and opportunities that face care providers for critically ill patients daily. It examines devices such as peripheral intravenous lines (both landmark-based and ultrasound-guided placement), intraosseous devices, central venous lines, pre-existing lines (e.g., dialysis catheters, Mediports, etc.), and the pros/cons of each device type. It includes up-to-date research on fluid infusion flow rates, technological limitations, compatible medications, complications, relative contraindications, and other evidence that helps providers to understand the wealth of options available to obtain vascular access rapidly and reliably. Emergent Vascular Access is an essential resource for any care provider who places or manages vascular access devices, including emergency and ICU physicians, residents, EMS paramedics, patient care technicians, medical students, and nurses.

Autorenportrait

James H. Paxton, MD MBA FACEP FAHAAssistant Professor, Department of Emergency MedicineWayne State University School of MedicineDirector of Clinical Research, Department of Emergency MedicineDetroit Receiving HospitalDetroit, MI

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