Vascular Access

Pp: 80-119 (40)

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* (Excluding Mailing and Handling)

  • * (Excluding Mailing and Handling)

Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Vascular access is critical in managing the perioperative patient. In critical situations, establishing adequate vascular access is often difficult, invasive, and carries significant risks. Ultrasound is an invaluable tool in facilitating efficient and safe vascular access. Ultrasound helps to verify the presence, position and potency of the target vessel prior to the needle puncture and provides real time imaging of the needle throughout the vasculature (puncture process. The following chapter reviews the basics of ultrasound physics and machine knobology for optimizing image acquisition. The specifications of establishing central access – internal jugular vein, subclavian vein, axillary vein, and femoral vein; as well as obtaining arterial access are discussed in detail. Sources that are useful to continue one’s education are also included.

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