ABSTRACT
The microintroducer approach to obtaining initial venous access and threading a peripherally inserted central catheter (PICC) with and without imaging support is described. Equipment needed and steps to complete the procedure are described. Initial patient assessment and problem solving are discussed, as is application of the microintroducer technique in clinical practice. Potential complications and challenges are included.
Subject(s)
Catheterization, Central Venous/methods , Catheterization, Central Venous/adverse effects , Catheterization, Central Venous/instrumentation , Catheterization, Central Venous/nursing , Catheters, Indwelling , Humans , Terminology as TopicSubject(s)
Catheterization, Peripheral/instrumentation , Catheters, Indwelling , Collagen , Hemostatic Techniques/instrumentation , Punctures , Renal Dialysis/instrumentation , Subclavian Artery/pathology , Absorbable Implants , Aged , Biocompatible Materials , Equipment Design , Female , Follow-Up Studies , Hemorrhage/prevention & control , Humans , Lactic Acid , Polyethylenes , Polyglycolic Acid , Polylactic Acid-Polyglycolic Acid Copolymer , Polymers , SuturesABSTRACT
A thorough knowledge of venous anatomy and physiology is important for any practitioner involved in the care of a patient with a vascular access device. This article reviews basic anatomy and physiology of the venous system of the upper extremities and chest, describes assessment parameters for patients prior to device placement, and suggests options in siting devices. This paper should assist the practitioner caring for a patient prior to or following device placement.
