Assistant Clinical Professor of EM UCSF Fresno Fresno, California
Disclosure(s): No financial relationships to disclose
Disclosure(s):
Maura E. Walsh, MD: No financial relationships to disclose
Level up your vascular access game with micropuncture kits, rapid infusion catheters (RICs) and multilumen access catheters (MACs). Micropuncture kits are used by IR, vascular surgery and interventional cardiology to access vessels for a reason. Micropuncture kits utilize a 21g needle, soft tipped wire and 4Fr catheter. ED docs can utilize these devices to better achieve first attempt success, minimize vessel trauma, and be re-wired into larger lines like REBOA and ECMO or even used for pericardiocentesis. Learn how to upgrade your peripheral IVs to RICs, which are 7 Fr or 8.5 Fr sheaths with all the flow of a cordis and none of the risks of a central line. In less than two minutes, a 20g IV can be rewired to a 7 Fr sheath with flow rates of 1L per minute. If a RIC isn't enough for you, a MAC cordis is a 9 Fr sheath introducer with a 12g side lumen to give you all the flow of a sheath with the added benefit of a second lumen for noncompatible meds or pressors, and saves your patient from an additional procedure.
Learning Objectives:
Discuss uses and benefits of micropuncture kits, rapid infusion catheters, and multilumen access catheters for ED resuscitation
Review placement technique for advanced vascular access lines
