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Seldinger (over the wire) technique
Introduction
- To introduce a flexible silicon catheter into a large vein such as the jugular vein. These are often called long stay catheters. They are usually softer and cause less damage to the vessel wall and can be used for sampling (eg useful for diabetic patients).
Uses
- Blood sampling.
- Administering intravenous fluids Fluid therapy.
- Administering intravenous drugs.
- Monitoring central venous pressure (CVP) Central venous pressure.
Advantages
- Simple procedure.
- Can be performed without anesthesia.
Alternative techniques
- Peelaway sheath catheter Peel-away sheath catheter.
Time required
Preparation
- 5 min.
Procedure
- 10-15 min.
Complications
- Hemorrhage.
- Thrombosis (can cause facial swelling).
- Arrhythmias.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
Other sources of information
- Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care. Burkitt J M & Davis H (eds) (2012), Wiley-Blackwell.