Vascular Access in Surgery — Advanced Medicine and Surgical Techniques

Surgery · Clinical Specialties

How it begins

An exhaustive compendium on the anatomy, hemodynamics, surgical and percutaneous implantation techniques, complications and maintenance protocols of arterial and venous vascular access.

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 (CT)
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