HIV In Children
 
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Pedi Poll
Today's Poll
For treatment of tuberculosis, should anti TB drugs be given as fixed drug combination {FDC} or singly_?
FDC can be given as it is easy to give just one tablet
Drugs should be used singly to achieve optimum blood levels
VASCULAR ACCESS IN PEDIATRICS
Peripheral Vascular Access
Dr Sunita Goel
Lecturer in Anaesthesiology
BJ Wadia Childrens hospital


Types of vascular access
  • Peripheral

  • Central
Peripheral vascular access :

  • Venous

  • Arterial

  • Intraosseous

  • Venous cutdown
Equipment for peripheral vascular access
  • Butterfly needles

  • Over- the- needle catheters

  • Through-the needle catheter
Indications for peripheral vascular access
  • Fluid replacement

  • Administration of blood products

  • Administration of medications

  • Parenteral nutrition

  • Blood sampling
Contraindications of peripheral venous access
  • Skin infection in the site

  • Proximal vein injury

  • Proximal unstable fractures

  • Uncorrected coagulopathies (deep punctures, cutdowns)
Complications of vascular access
    Localized

    • Phlebitis, inflammation

    • Site infection

    • Infiltration

    • Tissue necrosis

    • Hematoma and bleeding

    • Peripheral nerve palsy

    • Positional deformities

    Systemic

    • Thrombosis

    • Pulmonary thromboembolism

    • Air embolism

    • Catheter fragment embolism

    • Fluid overload

    • Electrolyte imbalance


 
 
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