7.
Split the arterial and venous lumens by grasping the distal ends
and gently pull apart the lumens to the point printed "DO NOT
SPLIT BEYOND THIS POINT".
Warning: Splitting the lumens beyond this point may result
in excess tunnel bleeding, infection, or damage to the
catheter lumens.
Note: A tunnel with a wide gentle arc lessens the risk of
kinking. The tunnel should be short enough to keep the Y-hub
of the catheter from entering the exit site, yet long enough to
keep the cuff 2cm (minimum) from the skin opening.
8.
Irrigate catheter with saline, then clamp catheter extensions to
assure that saline is not inadvertently drained from lumens.
Use clamps provided.
9.
Insert the introducer needle with attached syringe into the
target vein. Aspirate to ensure proper placement.
10. Remove the syringe, and place thumb over the end of the needle
to prevent blood loss or air embolism.
TO RELEASE GUIDEWIRE FROM DISPENSER:
10a. Grasp the shoulder of the J-Straightener between the forefinger
and thumb.
10b. Gently pull on the J-Straightener shoulder until it is just
removed from the dispenser tubing.
10c. Holding the guidewire and the shank of the J-Straightener, fully
withdraw the guidewire from the dispenser.
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