Vascular access is an important procedure for clinicians to master. Chronic medical conditions, intravenous drug use, and obesity can all make placements of vascular catheters in central and peripheral veins challenging and time-consuming. External landmarks have traditionally guided the placement of the needle for the performance of central venous catheterization. The proximity of such structu...

The evidence that supports the general application of US guidance for venous access in the ED has reached a critical mass. The increasing familiarity of emergency physicians with US and the recent focus on patient safety and clinical outcomes has intensified attention on the capacity for US to improve patient care in the ED. US guidance can increase the safety and efficiency of venous access pr...

Vascular access for acute haemodialysis was required on 29 occasions in 26 children over a six year period. Comparison was made of the forms of vascular access employed, these being the Scribner shunt, the Hickman line, and percutaneous polyvinylchloride cannulae. The Hickman catheter was used to provide vascular access in 17 patients (mean age 8.8 years (range 2.5-16 years) and mean weight 25....