Advanced Vascular Access in Small Animal Emergency and Critical Care

In canine and feline patients presenting in a state of hemodynamic collapse, obtaining vascular access can be challenging. Delays in achieving vascular access interfere with delivery of patient care. In human medicine, definitions of difficult vascular access are variable and include the need for mu...

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Autores principales:	Jack A. Lee, Liz-Valéry S. Guieu, Geneviève Bussières, Christopher K. Smith
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	difficult vascular access intraosseous cutdown emergency veterinary ultrasound Veterinary medicine SF600-1100
Acceso en línea:	https://doaj.org/article/aedd09c3035241f99bc8942d603233bf
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spelling	oai:doaj.org-article:aedd09c3035241f99bc8942d603233bf2021-12-01T13:09:23ZAdvanced Vascular Access in Small Animal Emergency and Critical Care2297-176910.3389/fvets.2021.703595https://doaj.org/article/aedd09c3035241f99bc8942d603233bf2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fvets.2021.703595/fullhttps://doaj.org/toc/2297-1769In canine and feline patients presenting in a state of hemodynamic collapse, obtaining vascular access can be challenging. Delays in achieving vascular access interfere with delivery of patient care. In human medicine, definitions of difficult vascular access are variable and include the need for multiple placement attempts or involvement of specialized teams and equipment. Incidence and risk factors for difficult vascular access have not been well studied in veterinary patients, which limits understanding of how best to address this issue. Alternatives to percutaneous peripheral or central intravenous catheterization in dogs and cats include venous cutdowns, umbilical access in newborns, corpus cavernosum access in males, ultrasound-guided catheterization, and intraosseous catheterization. In recent years, advances in ultrasonography and intraosseous access techniques have made these more accessible to veterinary practitioners. These vascular access techniques are reviewed here, along with advantages, limitations, and areas for future study of each technique.Jack A. LeeLiz-Valéry S. GuieuGeneviève BussièresChristopher K. SmithFrontiers Media S.A.articledifficult vascular accessintraosseouscutdownemergencyveterinaryultrasoundVeterinary medicineSF600-1100ENFrontiers in Veterinary Science, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	difficult vascular access intraosseous cutdown emergency veterinary ultrasound Veterinary medicine SF600-1100
spellingShingle	difficult vascular access intraosseous cutdown emergency veterinary ultrasound Veterinary medicine SF600-1100 Jack A. Lee Liz-Valéry S. Guieu Geneviève Bussières Christopher K. Smith Advanced Vascular Access in Small Animal Emergency and Critical Care
description	In canine and feline patients presenting in a state of hemodynamic collapse, obtaining vascular access can be challenging. Delays in achieving vascular access interfere with delivery of patient care. In human medicine, definitions of difficult vascular access are variable and include the need for multiple placement attempts or involvement of specialized teams and equipment. Incidence and risk factors for difficult vascular access have not been well studied in veterinary patients, which limits understanding of how best to address this issue. Alternatives to percutaneous peripheral or central intravenous catheterization in dogs and cats include venous cutdowns, umbilical access in newborns, corpus cavernosum access in males, ultrasound-guided catheterization, and intraosseous catheterization. In recent years, advances in ultrasonography and intraosseous access techniques have made these more accessible to veterinary practitioners. These vascular access techniques are reviewed here, along with advantages, limitations, and areas for future study of each technique.
format	article
author	Jack A. Lee Liz-Valéry S. Guieu Geneviève Bussières Christopher K. Smith
author_facet	Jack A. Lee Liz-Valéry S. Guieu Geneviève Bussières Christopher K. Smith
author_sort	Jack A. Lee
title	Advanced Vascular Access in Small Animal Emergency and Critical Care
title_short	Advanced Vascular Access in Small Animal Emergency and Critical Care
title_full	Advanced Vascular Access in Small Animal Emergency and Critical Care
title_fullStr	Advanced Vascular Access in Small Animal Emergency and Critical Care
title_full_unstemmed	Advanced Vascular Access in Small Animal Emergency and Critical Care
title_sort	advanced vascular access in small animal emergency and critical care
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/aedd09c3035241f99bc8942d603233bf
work_keys_str_mv	AT jackalee advancedvascularaccessinsmallanimalemergencyandcriticalcare AT lizvalerysguieu advancedvascularaccessinsmallanimalemergencyandcriticalcare AT genevievebussieres advancedvascularaccessinsmallanimalemergencyandcriticalcare AT christopherksmith advancedvascularaccessinsmallanimalemergencyandcriticalcare
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Advanced Vascular Access in Small Animal Emergency and Critical Care

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