Vascular Access

An interactive discussion about vascular access in the pediatric patient population between Todd Ponsky, MD and Mark Wulkan, MD. Dr. Wulkan is Professor of Surgery and Chief, Division of Pediatric Surgery, Department of Surgery, Emory University School of Medicine, Emory Children's Center, Atlanta, Georgia Table of Contents 01:15 - Catheter selection 02:48 - Neck cutdown technique 06:38 - Catheter selection, continued 07:02 - Neck cutdown technique, continued 07:18 - Determine catheter length 09:34 - Percutaneous technique 13:24 - Long-term access 15:22 - Utility of vascular studies 17:50 - Choice of vessel 19:17 - Line infections 20:06 - Choice of vessel, continued 22:44 - Groin cutdown technique 23:17 - Preoperative workup 24:38 - Heparin use 25:20 - Ethanol use 26:14 - Line infections, continued 27:35 - Antibiotic-coated catheters 27:47 - Heparin-coated catheters 28:04 - Exhaustion of vessel options 31:15 - Skin preparation 32:37 - Tunneled catheter removal Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626 License: http://creativecommons.org/licenses/by/3.0/