Arrow AV-04020 Mode D'emploi page 2

Fig. 1
Precaution: Do not advance guide wire unless there
is free blood flashback. When reference mark on clear
spring-wire tube coincides with edge of internal cylinder of
actuation lever, the tip of the spring-wire guide is located
at needle tip. Warning: Do not retract spring-wire guide
against edge of needle while in vessel to minimize the risk
of spring-wire guide damage.
• Syringe – Remove needle and syringe. Pass 0.018" spring-
wire guide through catheter.
encountered while advancing spring-wire guide, do not
force feed.
If resistance is encountered during spring-wire
guide advancement, withdraw entire unit and attempt new
puncture.
8. Firmly hold introducer needle hub and/or spring-wire guide
in position and advance catheter forward with a slight rotating
motion over spring-wire guide into vessel.
9. Hold catheter in place and remove spring-wire guide or
introducer needle/spring-wire guide assembly. Pulsatile blood
flow indicates positive arterial placement.
reinsert needle into catheter to minimize risk of catheter
damage.
10. Attach desired stopcock, injection cap or connecting tubing
to catheter hub. Secure catheter to patient in preferred
manner using suture wings, suture groove or wing clip,
where provided. Warning: Care should be exercised that
the indwelling catheter is not inadvertently kinked at the
hub area when securing catheter to the patient. Kinking
may weaken the wall of the catheter and cause a fraying
or fatigue of the material, leading to possible separation
of the catheter. Warning: Do not suture directly to outside
diameter of catheter body to minimize the risk of damaging
the catheter or adversely affecting monitoring capabilities.
11. Dress according to hospital protocol.
catheters should be routinely inspected for desired flow
rate, security of dressing, correct catheter position and for
secure Luer-Lock connection.
Peripheral Venous Catheterization
Warnings and Precautions:*
1. Warning: Practitioners must be aware of complications
associated with peripheral intravenous catheters
including infiltration, catheter embolus, bacteremia,
septicemia, thrombosis, inadvertent arterial puncture,
nerve damage, hematoma and hemorrhage.
2. Precaution: Use of a syringe smaller than 10 mL to irrigate
or declot an occluded catheter may cause catheter rupture.
A Suggested Procedure:
Use sterile technique.
1. Prep puncture site as required.
2. Puncture vessel using a continuous, controlled, slow, forward
motion. Avoid transfixing both vessel walls. Blood flashback
in hub of introducer needle indicates successful entry into
vessel. Precaution: The color of the blood aspirated is not
always a reliable indicator of venous access.
may be required.
3. Advance catheter and needle, as a unit, approximately 1-2 mm
4. Firmly hold needle in position and advance catheter forward
5. Attach stopcock, injection cap or connecting tubing to catheter
6. Secure catheter to patient. Suture groove or wing clip may
Precaution: If resistance is
7. Dress puncture site per hospital protocol.
Catheter Removal Procedure:
Precaution: Do not
1. Remove dressing.
2.
3. Upon removal of catheter, inspect it to make sure entire length
4. Verify catheter was intact upon removal. Document removal
References:
Precaution: Indwelling
1. Abadir AR, Ung KA. Complications of radial artery
2. Band JD, Maki DG. Infections caused by arterial catheters
3. Chang C, Dughi J, Shitabata P, Johnson G, Coel M, McNamara
14,18
4. Clark CA, Harman EM. Hemodynamic monitoring: arterial
5
5. Conn C. The importance of syringe size when using
6. Daily EK, Schroeder JS. Techniques in Bedside Hemodynamic
7. Eissa NT, Kvetan V. Guide wire as a cause of complete
8. Falk PS, Scuderi PE, Sherertz RJ, Motsinger SM. Infected
Aspiration
9
2
further into vessel.
with a slight rotating motion into vessel. Remove introducer
Precaution: Do not reinsert needle into catheter to
needle.
minimize the risk of catheter damage.
hub. Precaution: To lessen the risk of disconnects, only
securely tightened Luer-Lock connections should be used
with this device.
be used. Warning: Care should be exercised that the
indwelling catheter is not inadvertently kinked at the
hub area when securing catheter to the patient. Kinking
may weaken the wall of the catheter and cause a fraying
or fatigue of the material, leading to possible separation
of the catheter. Warning: Do not suture directly to
outside diameter of catheter body to minimize the risk of
damaging the catheter or adversely affecting monitoring
capabilities. Precaution: If using suture ring, suture should
be snug but not tight.
Indwelling catheters should be routinely inspected for
desired flow rate, security of dressing, correct catheter
position and for secure Luer-Lock connection.
Precaution: To minimize the risk of
cutting the catheter, do not use scissors to remove dressing.
Warning: Exposure of vessel to atmospheric pressure may
result in entry of air into the circulation.
Be careful not to cut catheter. Remove catheter slowly, pulling
it parallel to skin. As catheter exits site, apply pressure with a
dressing until hemostasis occurs. Apply light pressure dressing
to site.
has been withdrawn.
procedure.
cannulation. Anesthesiology Rev. 1980;7:11-16.
used for hemodynamic monitoring. Am J Med. 1979;67:
735-741.
JJ. Air embolism and the radial arterial line. Crit Care Med.
1988;16:141-143.
catheters. In: Taylor RW, Civetta JM, Dirby RR, eds.
Techniques and Procedures in Critical Care. Philadelphia,
PA: JB Lippincott; 1990:218-230.
implanted vascular access devices. J Vasc Access Nurs.
Winter 1993;3:11-18.
Monitoring. 5th ed. St. Louis, MO: Mosby; 1994:71-77.
heart block in patients with preexisting bundle branch block.
Anesthesiology. 1990;73:772-774.
radial artery pseudoaneurysms occurring after percutaneous
cannulation. Chest. 1992;101:490-495.
Precaution:
Remove suture(s).