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[Seldinger modified technique]
Francisco Ramos Cuenca1, Joaquín Linares Escudero, Raquel Romo García
1Area de Urgencias, Hospital Regiona Universitario Carlos Haya de Málaga.
Insights
Critically ill patients needing central venous access can benefit from the modified Seldinger technique when standard methods fail due to small vessel size. This nursing-led procedure ensures vital treatment delivery.
Area of Science:
- Vascular Access
- Interventional Nursing
- Critical Care Medicine
Context:
- Critically ill patients often require central venous catheters for treatment.
- The Carlos Haya Regional University Hospital manages a high volume of such patients.
- Standard central venous catheter insertion may be challenging due to insufficient vessel caliber.
Purpose:
- To describe the modified Seldinger technique for central venous catheter insertion via peripheral catheters.
- To provide an alternative method when DRUM-type catheterization is not feasible.
- To highlight the nursing team's role in managing complex vascular access.
Summary:
- The modified Seldinger technique allows central venous catheterization through peripheral catheters.
- This method is employed when vessel diameter precludes standard central catheter insertion.
- The procedure is performed by the nursing team for critically ill patients.
Impact:
- Facilitates essential treatment delivery in patients with challenging venous anatomy.
- Enhances the capabilities of nursing staff in critical care settings.
- Offers a practical solution for maintaining central venous access in resource-limited or complex cases.
Abstract:
The authors describe the procedure to insert central blood vessel catheters through peripheral blood vessel catheters using the Seldinger modified technique since critically ill patients service at the Carlos Haya Regional University Hospital in Malaga cares for a high number of patients who need to have canalized a central blood vessel catheter to maximize the treatment they receive. In many cases it is not possible to insert a DRUM type central blood vessel catheter due to an insufficient blood vessel caliber and then the nursing team at this hospital opts to carry out a procedure to canalize a central blood vessel using the Seldinger modified technique. This report was presented at the III National Social-Sanitary Nursing Congress.
