RT Book, Section
A1 Weiner, Richard
A1 Ryan, Erin
A1 Yohannes-Tomicich, Joanna
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136419179
T1 Arterial Line Monitoring and Placement
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessmedicine.mhmedical.com/content.aspx?aid=1136419179
RD 2024/04/19
AB Arterial  catheterization  is  one  of  the  most  frequently  performed  invasive  procedures  performed  on  critically  ill  patients.  It  is  generally  considered  to  be  a  safe  procedure  with  few  serious  complications  and  a  major  complication  rate  ranging  between  1%  and  5%.1,2,3,4  Although  arterial  catheterization  was  traditionally  performed  by  physicians,  contemporary  practice  in  many  organizations  allows  credentialing  for  this  procedure  to  be  performed  routinely  by  nonphysician  providers  including  nurse  practitioners,  certified  registered  nurse  anesthetists,  and  physician  assistants.  Arterial  line  placement  remains  a  readily  acceptable  intervention  for  unstable  patients  requiring  continuous  monitoring  of  blood  pressure,  frequent  blood  sampling,  and  blood  gas  analysis.1,3,4,5  Newer  technologies  for  hemodynamic  monitoring  such  as  measurement  of  stroke  volume  variation  and  cardiac  output  are  also  facilitated  by  the  presence  of  an  arterial  line.  This  chapter  will  review  general  principles  of  arterial  line  placement,  monitoring,  and  care.