Arterial cannulation for continuous blood pressure monitoring is not a technique free of complications, most of the time minor and not a major problem for the patient, but in some cases it can have serious consequences. Furthermore, in children, given the smaller...
hemodynamic management
Cardiac Cycle Efficiency: Beyond Measurement, Toward Clinical Interpretation
Advanced hemodynamic monitoring, particularly the ability to track stroke volume (SV) and cardiac output (CO), has significantly contributed to the refinement of anesthesiologists’ expertise in hemodynamic management. Beyond serving as cardiac output monitors, these...
Ultrasound-guided arterial cannulation in 6 steps
Catheterisation of an arterial line for invasive blood pressure monitoring is a common technique, both in Critical Care Units and in the intra- and postoperative period of patients undergoing cardiac or other major surgery requiring strict blood pressure control or...
What is the ideal length for my central venous catheter?
The incidence of mechanical complications during central venous catheter insertion is 6.2% to 11.8% for subclavian and internal jugular vein approaches, making it a challenge to select the ideal catheter length and avoid risks associated with the technique. 1...
Central venous catheter fixation systems: which is the safest option?
The traditional method of fixing central venous catheters was suturing, and although this is still used today, the high rate of complications is leading more and more professionals to opt for other safer options. What are the alternatives? WHAT WILL YOU FIND IN THIS...
Perioperative hemodynamic management made easy, affordable, and green
Hemodynamic instability frequently manifests during the perioperative course of high-risk surgical patients. This instability arises primarily during surgery due to the influence of anesthetic agents on vascular tone, compounded by surgical bleeding. Post-surgery,...
What tools can be used to avoid resonance in the blood pressure waveform?
In 30.7% of cases, the arterial blood pressure waveform is resonant. If this happens, the reading will be incorrect and, if we base our decisions on it, they will not be the most accurate. WHAT WILL YOU FIND IN THIS ARTICLE? What is resonance? How to avoid resonance?...
Why CO?
In acute care areas, where patients can be hemodynamically unstable (or at risk of instability), clinicians aim to optimize perfusion in order to avoid organ dysfunction, multi-organ failure, or even death. These areas refer to critical care units, perioperative areas...
6 Keys to proper care and maintenance of the CVC
Central venous catheters are one of the most commonly used devices in hospitals, however, they can present some complications, and to avoid them, proper care and maintenance of the device is essential. WHAT WILL YOU FIND IN THIS ARTICLE? Monitoring of the insertion...
10 Keys to safe internal jugular vein CVC placement in pediatrics
According to studies, the success rate of IJV cannulation in infants can be 100% as long as certain measures are taken and catheter insertion is ultrasound-guided. 1 WHAT CAN YOU FIND IN THIS ARTICLE? Pediatric patients: the challenges of central venous cannulation...