Sheath introducer: Difference between revisions
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**Can be used to insert triple lumen catheter, Swan-Ganz catheter, and temporary external pacing wires | **Can be used to insert triple lumen catheter, Swan-Ganz catheter, and temporary external pacing wires | ||
*Commonly used for rapid fluid or blood administration (especially in [[trauma]] resuscitation) | *Commonly used for rapid fluid or blood administration (especially in [[trauma]] resuscitation) | ||
**Can infuse | **Can infuse close to 600 ml/min with pressure<ref>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.</ref> | ||
*Cordis and MAC are both trade names commonly used for sheath introducers | *Cordis and MAC are both trade names commonly used for sheath introducers | ||
Revision as of 09:41, 21 January 2021
Overview
- Long (6-8cm), wide bore (6-9 Fr) single lumen catheter typically placed in a central vein
- Have wide plastic hub on proximal end with one-way valve
- Can be used to insert triple lumen catheter, Swan-Ganz catheter, and temporary external pacing wires
- Commonly used for rapid fluid or blood administration (especially in trauma resuscitation)
- Can infuse close to 600 ml/min with pressure[1]
- Cordis and MAC are both trade names commonly used for sheath introducers
Indications
Contraindications
Equipment Needed
Procedure
Complications
Complications vary by site
- Pneumothorax (more common with subclavian)
- Arterial puncture (more common with femoral)
- Catheter malposition
- Subcutaneous hematoma
- Hemothorax
- Catheter related infection (historically more with femoral)
- Catheter induced thrombosis
- Arrhythmia (usually from guidewire insertion)
- Venous air embolism (avoid with Trendelenburg position)
- Theoretically higher risk with sheath introducer compared to other CVC's
- Bleeding
See Also
Vascular access types
- Central venous catheterization
- Sheath introducer
- Intraosseous access
- Venous cutdown
- Umbilical vein catheterization
- Ultrasound assisted peripheral line placement
- External jugular vein cannulation
- The "Easy IJ"
- Midlines
External Links
https://etmcourse.com/large-bore-vascular-access-devices/
References
- ↑ 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.