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Vascular access in hypotensive patients

"Owing to the increased vascular tone and the absence of readily palpable veins typically seen in exsanguinating trauma patients, intravascular access remains a challenging task" Succar et al (2023).

"Owing to the increased vascular tone and the absence of readily palpable veins typically seen in exsanguinating trauma patients, intravascular access remains a challenging task" Succar et al (2023).

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Vascular access in hypotensive patients

Extract:

“Time is critical during trauma resuscitation. Most recently, Deeb et al found that every minute of delay in resuscitative intervention is associated with 2% greater odds of mortality. Owing to the increased vascular tone and the absence of readily palpable veins typically seen in exsanguinating trauma patients, intravascular access remains a challenging task. Therefore, the need for prompt vascular access in this specific population is paramount to prevent delays in transfusions. Since the 15th century, the peripheral intravenous (PIV) route has been the conventional form to secure reliable vascular access; however, ongoing research has recently shown the efficiency of alternative access modalities.”


Reference:

Succar B, Vella MA, Holena DN, Dumas RP. Navigating the challenges of vascular access in hypotensive injured patients. Surgery. 2023 Nov 16:S0039-6060(23)00770-5. doi: 10.1016/j.surg.2023.10.004. Epub ahead of print. PMID: 37980201.

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