![]() ![]() (assuming you’re using the blue introducer syringe). Check once more that blood can be aspirated, then reach for wire with your dominant hand Once you get flash, keep needle/syringe perfectly still in non-dominant hand braced on patient. If it isn’t easily palpable, enter just above the webspace between your thumb and index finger as they are positioned on pubic symphysis and ASIS respectively.Īlways aspirate the plunger while you advance. ![]() If the artery is palpable, enter 1cm medial to it. ![]() Puncture site should be 1-2cm distal to the inguinal ligament If you can’t remember which side the vein is on, remember “ Using this feature allows you to skip the step of taking the syringe off the needle which can lead to the needle slipping out of the vessel. It has a hole in the back of the plunger that allows you to advance the needle directly through the syringe and out the needle. I will focus on the wire through needle technique in this guide. For a review of the wire through catheter technique, please see Dr. To achieve this you can either use the wire-through-needle technique or wire-through-catheter technique. Triple lumen catheter placement: wire in, dilator in, dilator out, triple lumen catheter in, wire out (while triple lumen catheter stays in).įor a more detailed explanation of cordis placement, READ ON!īy this point the patient has already been prepped/draped/anesthetized (if time permits). The rest of cordis placement is fairly straightforward.Ĭordis placement: wire in, dilator-cordis in, wire and dilator out (while cordis catheter stays in). Flush the line (unless you need to draw blood off of it immediately) and lock it so it doesn’t bleed everywhere. ![]()
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