Midline catheter- basilic vein cannulation: in difficult peripheral venous access

 

 
 
 
 


 

The Case

A 47 year old M was admitted with COVID-19 disease. His constitution is obese with very difficult peripheral venous access. Central venous access is fraught with air embolism in a respiratory distress patient and is considered to accompany more complications.

 

*Midline catheters*

How it is inserted

 

Generally the basilic or cephalic veins are too deep to be visualized superficially. Therefore, ultrasound is used to place the cannula.

 

This required skill and practice.

-==-

 

 

Dr. Prashant Kumar





Comments

Post a Comment

Thanks for your comments, will reply you soon!!!

Popular posts from this blog

How To Choose The Correct Size Of Suction Catheter

Image
  How To Choose The Correct Size Of Suction Catheter Dr. Prashant Kumar Background: Suctioning of the artificial airway is a common procedure in everyday clinical practice. 1. Indication: Need to suction a tracheal/ tracheostomy tube should be assessed frequently as necessary by anyone providing care to the patient. The frequency of assessment may be as frequent as continuous in patients with very high secretions to as low as once in several days in dry-clean airways. No generalization can be made on this point.      The decision to suction a tracheal tube must be made on the basis of the clinical need to maintain the patency of the tracheobronchial tree. No routine suctioning should be performed based on timing alone. A tracheal tube should only be suctioned when clinically indicated by signs which could include:   i. visible, palpable or audible secretions (such as sputum, gastric or upper airway contents or blood)   ii. respiratory: desat...
Read more

How often do you test Vitamin D levels and does it matter in your ICU?

Image
How often do you test Vitamin D levels and does it matter in your ICU?     Vitamin D is essentially needed in general population and the critically ill. This vitamin has significant role in maintaining immune function, cardiovascular state, glucose control and mucosal barrier function etc.     70 to 100 % have vitamin D deficiency in the ICU.   Vitamin D supplementation is safe in general population and ICU patients. Hypervitaminosis D should be avoided through correct replacement regimen.   Normal desirable levels: Labs report Vitamin D3 levels in two different units; ng/mL & nmol/L   1 ng/mL = 2.5 nmol/L   Normal value 30-100 ng/mL (75 to 250 nmol/L) Anything over 100 ng/ml (250 nmol/l) for a prolonged period may be harmful. Dietary supplement upto 4,000 IU or less per day is considered safe.   Supplements comparisons and dose schedules   Oral Orally administered Vitamin D3 partially gets me...
Read more