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[Venous access in emergencies].

P Sefrin1

  • 1Institut für Anästhesiologie, Universität Würzburg.

Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|August 1, 1991
PubMed
Summary
This summary is machine-generated.

Establishing reliable venous access is crucial for emergency pharmacological treatment. Physicians should select venous puncture sites based on drug, infusion, and duration, prioritizing peripheral over central access when possible.

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Area of Science:

  • Emergency Medicine
  • Vascular Access
  • Pharmacology

Context:

  • Effective pharmacological treatment during emergencies hinges on reliable venous access.
  • Choosing the appropriate venous access site requires consideration of drug properties, infusion needs, and expected duration of intravascular access.

Purpose:

  • To guide healthcare professionals in selecting optimal venous puncture sites for emergency pharmacological interventions.
  • To outline principles for peripheral and central venous access, including management of accidental arterial puncture.

Summary:

  • Peripheral venous access is preferred, starting distally and progressing proximally if necessary. Visible veins, excluding varicose or thrombotic ones, are suitable for puncture.
  • Accidental arterial puncture requires leaving the cannula in place and initiating immediate pharmacological therapy.

Related Experiment Videos

  • Central venous catheterization (via internal jugular, subclavian, or basilic veins) is an alternative when peripheral access fails, despite higher complication rates.

    • Impact:

    • Facilitates timely and effective emergency treatment by ensuring appropriate venous access.
    • Enhances patient safety by providing clear guidelines on venous puncture techniques and complication management.
    • Empowers physicians to confidently utilize their most familiar venous access techniques in critical situations.