"CRITICAL CARE A DAY"

Home
Previous Pearls 2017
Previous Pearls 2016
Previous Pearls 2015
Previous Pearls 2014
Previous Pearls 2013
Previous Pearls 2012
Previous Pearls 2011
Previous Pearls 2010
Previous Pearls 2009
Previous Pearls 2008
Previous Pearls 2007
Previous Pearls 2006
Previous Pearls 2005
Related Critical Care sites
Disclaimer

.

.




Saturday July 22, 2017

Q: 69 year old male is admitted to ICU for frequent dizziness. After workup, surgery has been consulted for  Carotid Endarterectomy (CEA). Which artery should be selected for cannulation in patients going for CEA?


Answer: 

Patients going for CEA by default have systemic atherosclerotic disease, and difference in blood pressure measurement is frequent in different arms. The arm with the higher cuff blood pressure should be choosen for "A-line". If radials are not readily palpable or can be cannulated, the femoral artery with higher cuff blood pressure in corresponding lower extremity should be cannulated.


Reference:

Frank SM, Norris EJ, Christopherson R, Beattie C. Right- and left-arm blood pressure discrepancies in vascular surgery patients. Anesthesiology 1991; 75:457.






Tip for finding previous pearl
 
To find previous pearl - go to 'google', as we archive at google's blogspot.
Type your keyword (like hyperkalemia) followed with icuroom.net

 
 
*********************************************************************************
*********************************************************************************
 
 
 
This site is a quick "coffee break" forum for "intensivists" -   trained and dedicated in taking care of  critically ill (ICU) patients !!