Titlebook: Ultrasound Guided Vascular Access; Practical Solutions Matthew D. Ostroff,Mark W. Connolly Textbook 2022 The Editor(s) (if applicable) and

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Infusion and Phlebotomy via the Femoral Vein in Outpatient Pediatrics of blood and an infusion with intermittent blood drawing. An ultrasound assessment of the upper extremities using the RaPeVA protocol did not reveal a viable venous option. The femoral approach was assessed using the RaFeVA protocol revealing a large caliber common femoral vein. After discussion wi

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Ultrasound Guided Peripheral Intravenous Catheter to the Brachial Vein During a Rapid Responseid response was called. The access site infiltrated, and the staff was unable to establish vascular access. Immediately after the vascular access team arrived a rapid peripheral ultrasound assessment identified the brachial vein and artery. Under ultrasound guidance, a 20-gauge 2.5-inch PIVC was pla

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Ultrasound Guided Long Peripheral Catheter to the Basilic Vein to Facilitate a Rapid Transfusiontaff decided to avoid central line placement due to coagulopathy and consulted the vascular access service for large bore peripheral access to initiate a rapid transfusion protocol for hypovolemic shock. An ultrasound-guided 5F 10 cm (flow rate 180?mL/min) midline catheter was placed to the basilic

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Vascular Access in the Bariatric Patient wire exchange for an 8 cm 2F midline catheter..: Peripheral venous access in the patient with a large body mass index begins with a visual assessment for insertion sites followed by an ultrasound assessment of the venous anatomy and selection of the appropriate length catheter to minimize needle st

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Vasopressors Through a Peripheral Intravenous Catheter as a Bridge to Establishing Central Venous Acearly defining the concentration of the vasopressor, the dosing, PIV location (upper arm), gauge and length, patient monitoring, and a plan to manage extravasation events..: The patient was a 66-year-old male with end-stage renal disease (ESRD) with a thrombosed right upper extremity fistula, being

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Netherton Syndrome and Use of the Cephalic Vein in the Forearm was a 5-year-old male with a past medical history of Netherton syndrome, including severe dermatosis, desquamation of the epidermis, immunodeficiency, and developmental delay. The patient receives intravenous immunoglobulin (IVIG) monthly at the outpatient hematology, oncology, and genetic unit. Gi

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