• Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2013

    [The difficult venous access].

    • Andrea Denk.
    • Klinik für Anästhesie, perioperative Medizin und Schmerztherapie, HELIOS Klinikum Berlin-Buch. jochen.strauss@helios-kliniken.de
    • Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 Apr 1;48(4):258-63.

    AbstractVenipunctures in children are difficult. Some factors can hardly be influenced, for example, a well-developed subcutaneous fat tissue. Technical devices may help to identify invisible veins. With the help of ultrasound deep peripheral veins on the wrists and ankles can be presented and punctured. Stiff resistance of a child thwarts any successful puncture. Children should therefore be adequately sedated, if cannot be induced by mask. Missing practice venipuncture and inadequate knowledge of appropriate puncture sites can be met easily by practicing and reading.The possibility of intraosseous puncture today is standard of anesthesia care for children. Within in a few seconds, a secure access to the vein system can be created.© Georg Thieme Verlag Stuttgart · New York.

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