Rapid infusion catheter: Difference between revisions

Line 14: Line 14:


===Relative===
===Relative===
*Coagulopathy (see below)
*Coagulopathy
*Distortion of landmarks by trauma or congenital anomalies
*Distortion of landmarks by trauma or congenital anomalies
*Prior vessel injury or procedures
*Prior vessel injury or procedures

Revision as of 10:05, 21 January 2021

Overview

  • 8.5 Fr diameter, 6.5 cm long infusion catheter
  • Designed to be exchanged through a 20-gauge PIV via Seldinger technique
  • Can achieve flow rates >600 ml/min with pressure (higher than a sheath introducer or 14-gauge PIV]][1]

Indications

Contraindications

Absolute

  • Infection over the placement site
  • Anatomic obstruction (thrombosis of target vein, other anatomic variance)

Relative

  • Coagulopathy
  • Distortion of landmarks by trauma or congenital anomalies
  • Prior vessel injury or procedures
  • Ideally need at least 6-8 cm of relatively straight vein

Equipment Needed

  • Arrow brand RIC set
    • RIC line with dilator
    • Wire
    • Scalpel
  • Pre-existing PIV (at least 20-gauge or larger bore)
  • Suture material

Procedure

Complications

See Also

Vascular access types

External Links

References

  1. Brown, N., Kaylene M. Duttchen, and J. W. Caveno. "An evaluation of flow rates of normal saline through peripheral and central venous catheters." American Society of Anesthesiologists Annual Meeting, Orlando. Anesthesiology. 2008.