By Gallagher, Christopher J.
"An a laugh step by step method of studying uncomplicated anesthesia strategies and strategies. Written in a funny, interesting type, Anesthesia Unplugged, 2e is helping anesthesiologists in education enhance the procedural talents priceless for the optimum care of the anesthetized sufferer. that includes an easy-to-navigate atlas-style presentation, the publication covers all proper anesthesia systems, detailing indications, contraindications, gear, and approach. Key promoting positive factors: The humerous, attractive tone is helping readers take note the tactics. huge, atlas-style images illustrate gear, process, and procedure. Covers the complete spectrum of perioperative, ambulatory, local, and basic procedures."--Provided via publisher. Read more...
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McGee DC, Gould M. Current concepts: preventing complications of central venous catheterization. N Engl J Med 2003;348:1123–1133. A succinct review detailing the complications of central lines, contrasting different sites and outlining how to prevent these complications. Thompson EC, Calver LE. Safe subclavian vein cannulation. Am Surg 2005;71(2):180–183. A surgeons perspective on subclavian lines. ir C H AP TER 4 C E N T R AL VE N O U S A C C E S S IN T H E P E D IA T R IC P A T IE N T LYD IA M .
A review of anatomy and complications relevant to IJ catheter placement. 2. McGee D, Gould M. Preventing complications of central venous catheterization. N Engl J Med 2003;348: 1123–1133. An excellent review of techniques utilized to reduce complications encountered when placing and utilizing central venous catheters. 3. Botha R, Van Schoor AN, Boon JM, Becker JH, Meiring JH. Anatomical considerations of the anterior approach for central venous catheter placement. Clin Anat 2006; 19:101–105. A review of the anatomy involved with the IJ.
Overlap of the vessels increases as the neck is more severely rotated 10,11 (Figures 2-13, 2-14, and 2-15). – Survey the IJ in the long axis to determine its patency and the presence of valves. The IJ has a demonstrable valve in 88% to 100% of cases, which is usually located distally in the retroclavicular space, near the jugular bulb, and can at times preclude passage of wires/ catheters. 12 • • • • • • VE N O U S AC C E S S Placement of the local anesthetic – Once you have defined the anatomy, selected an insertion site, determined IJ vessel patency, and maximized lateral separation of the carotid artery and IJ by determining the correct neck/ head rotation, place the US probe so that the IJ is in the center of your US viewing screen.
Anesthesia unplugged by Gallagher, Christopher J.