Vascular Access in Surgery — Advanced Medicine and Surgical Techniques

Surgery · Clinical Specialties

How it begins

Un compendio exhaustivo sobre la anatomía, hemodinámica, técnicas de implantación quirúrgica y percutánea, complicaciones y protocolos de mantenimiento de los accesos vasculares arteriales y venosos.

What it covers

1. Vascular Accesses
2. Anatomy, Histology and Vascular Physiology
3. · Vascular Wall Histology: Responses to Catheter Trauma
4. · Fluid Hemodynamics Applied to Vascular Access
5. · Pathophysiology of Vascular Remodeling in the Face of Shear Stimuli
6. · Vessel Selection Algorithm according to Clinical Requirements
7. Peripheral Venous Access and Midline Catheters
8. · Peripheral Venous Cannulation (PVP)
9. · Clinical Complications of Peripheral Pathways
10. · Vasopressor Extravasation Treatment Protocol
11. · Midline Catheters
12. Non-Tunneled Central Venous Catheters
13. · Reference Anatomical and Ecoguided Approaches
14. · Femoral Approach: Anatomy of Scarpa's Triangle
15. · The Seldinger Technique: Step-by-Step Surgical Guide
16. · Radiographic Determination of the Catheter Tip
17. Peripherally Inserted Central Catheters (PICC)
18. · Clinical Indications and Operational Advantages of the PICC
19. · Venous Anatomy of the Upper Extremity
20. · Modified Seldinger Technique (MST)
21. · The Optimal Insertion Zone: ZIM Zone (Dawson Insertion Zone)
22. · Specific Complications of the PICC
23. Tunneled Central Venous Catheters
24. · Structural Differences of Tunneled Catheters
25. · Surgical Tunneling and Insertion Technique
26. · Clinical Complications of the Tunneled Catheter
27. Fully Implantable Devices (Port-a-Cath)
28. · Anatomy and Materials of the Reservoir
29. · Surgical Reservoir Implantation Technique
30. · Correct Puncture: Non-Deflecting Huber Needles
31. Accesses for Hemodialysis I: Autologous Arteriovenous Fistulas (AVF)
32. · Preoperative Venous Mapping and Evaluation (Duplex Ultrasound)
33. · Classical Anatomical Configurations
34. · Surgical Technique of Arteriovenous Anastomosis
35. · Remodeling Biology and Maturation Criteria of the FAVa
36. · The Rule of Six (Rule of 6s) for Punishability
37. · Serious Clinical Complications of AVF
38. Accesses for Hemodialysis II: Prosthetic Grafts and High Flow Catheters
39. · Prosthetic Vascular Grafts (pAVF)
40. · High Flow Dialysis Catheters
41. Arterial Accesses for Invasive Hemodynamic Monitoring
42. · Commonly Used Arterial Approaches
43. · Vascular Safety Check: The Allen Test
44. · Physics of Pressure Monitoring and Wave Artifacts
45. Emergency Vascular Access: Intraosseous Route (IO)
46. · Physiological Anatomy of the Medullary Canal
47. · Anatomical Insertion Sites
48. · Puncture Technique with Semi-Automatic Devices (EZ-IO)
49. · Absolute Contraindications of the Intraosseous Route
50. Infectious Complications Related to Catheters
51. · Pathophysiology of Colonization and Biofilm Formation
52. · Classical Microbiology of Catheter Infection
53. · CLABSI Microbiological Diagnosis: The Differential Time of Positivity
54. · Antibiotic Lock Therapy (ALT)
55. Catheter-Associated Venous Thrombosis (TAC)
56. · CT pathophysiology: Application of Virchow's Triad
57. · Clinical Forms of Presentation of CT
58. · CT Diagnosis Using Duplex Ultrasonography
59. · Anticoagulant Management Guidelines in CT (ACCP Recommendations)
60. · Recommended Anticoagulation Schemes
61. Complex Clinical Situations and Special Populations
62. · Vascular Access in Pediatrics and Neonatology
63. · Vascular Access in Large Burn Patients
64. · Accesses in Patients with Extreme Coagulopathy or Thrombocytopenia
65. Maintenance, Washing Protocols and Comprehensive Prevention
66. · Effective Washing Protocol: Pulsating Pressure Technique (Push-Pause)
67. · The Positive Pressure Closure Technique
68. · Prevention Measures Packages (Insertion and Maintenance Bundles)
69. · Protocol for Unclogging Catheters with Fibrinolytics