Abstract
Placement and maintenance of vascular access comprise an important adjunct in the care of the critically ill obstetric patient. Establishing central venous and arterial access are acquired skills that require knowledge of catheter types, access routes, insertion techniques, and maintenance. Choosing the venous catheter type and the site for insertion is influenced by indication, duration of use, urgency of administration, and composition of the infusate. Three catheterization techniques are available to obtain vascular access: direct, modified, and classic Seldinger techniques. A wide range of immediate and delayed complications can be associated with central venous and arterial catheters. The chapter discusses specific complications, such as catheter malposition, thrombosis, stenosis, occlusion, and embolism, related to catheter use. The terms often used interchangeably to describe catheter-related infections are catheter-related bloodstream infection (CRBSI) and central line-associated bloodstream infection (CLABSI).
Original language | English (US) |
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Title of host publication | Critical Care Obstetrics |
Publisher | wiley |
Pages | 249-264 |
Number of pages | 16 |
ISBN (Electronic) | 9781119129400 |
ISBN (Print) | 9781119129370 |
DOIs | |
State | Published - Jan 1 2018 |
Keywords
- Arterial access
- Catheter types
- Catheterization techniques
- Clabsi
- Crbsi
- Obstetric patient
- Vascular access
ASJC Scopus subject areas
- General Medicine