Arterial Line Placement




Amazing Demonstration of Arterial Line Placement



INDICATIONS:

  • Continuous direct BP monitoring
  • Inability to use indirect BP monitoring (eg, in patients with severe burns or morbid obesity)
  • Frequent blood sampling
  • Frequent arterial blood gas sampling

CONTRAINDICATIONS:

  • Absent pulse
  • Thromboangiitis obliterans (Buerger disease)
  • Full-thickness burns over the cannulation site, infection
  • Inadequate circulation to the extremity
  • Raynaud syndrome
  • Synthetic vascular graft
COMPLICATIONS:

  • Temporary radial artery occlusion (19.7%)
  • Hematoma/bleeding (14.4%)
  • Localized catheter site infection (0.72%) - The risk increases with the length of time the catheter is in place 
  • Hemorrhage (0.53%)
  • Sepsis (0.13%)
  • Permanent ischemic damage (0.09%)
  • Pseudoaneurysm formation (0.09%)
  • Thrombosis
  • Arteriovenous fistula
  • Air embolism
  • Compartment syndrome
  • Carpal tunnel syndrome
  • Paralysis of median nerve

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