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femoral venipuncture PowerPoint Presentation
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femoral venipuncture

femoral venipuncture

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femoral venipuncture

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    1. Femoral Venipuncture

    2. Procedure Place the patient in the supine position Clean the skin around the venipuncture site and drape the area. Sterile gloves should be worn when performing the procedure. Locate the femoral vein by palpating the femoral artery. The vein lies directly medial to the artery (from lateral to medial: nerve, artery, vein, empty space, lymph node). A finger should remain on the artery to facilitate anatomical identification and to avoid inserting the catheter into the artery. Use local anaesthetic if the patient is awake. Introduce a large caliber needle attached to a 10 cc syringe. Insert the needle in the direction of the patients head, over the skin overlying the femoral vein. Slowly advance the needle while gently withdrawing the plunger of the syringe. When a free flow of blood appears in the syringe, remove the syringe and occlude the needle with a finger in order to prevent air embolism Insert the guide wire and remove the needle. Then insert the catheter over the guide wire. Remove the guide wire and connect the catheter to the intravenous line. Fix the catheter in place.

    5. No femoral pulse leads to a 23% failure rate of femoral vein cannulation Apply the V-technique - identifies the femoral vein location based on bony landmarks, independent of the arterial pulse. Place your thumb on the patients lateral pubic tubercle and your index finger on the anterior superior iliac spine, the femoral vein will lie at the V, or first web space, of your hand

    6. Complications for Femoral and Subclavian cannulation