Indications for central venous cannulation in critically ill patients
have increased dramatically, but central venous access has the drawbacks
of morbidity and a scarcity of experienced operators. Ultrasound-guided
peripheral venous access offers a solution, in that it reduces morbidity
and can be performed by a dedicated nursing team. The aim of this book
is to teach the fundamentals of this emerging technique. Advice is
provided on choice of materials; maneuvers for positioning of
peripherally inserted central venous catheters (PICCs), techniques for
evaluation of PICC tip placement; prevention, diagnosis, and management
of complications; and organization of a dedicated team within a hospital
or a supportive care program. Legal and economic issues are also
considered. The book will be of interest to a wide range of
professionals, including nutritionists, oncologists, anesthesiologists,
surgeons, registered nurses, nurse practitioners, physicians, physician
assistants, and radiologists.