We need that bit of heparin to keep everything open and flowing that needs to be open and flowing. It's a low dose, it's reversible, and it's prophylactically (as precaution) administered to minimize the risks of thrombosis and reduce the possibility of clot aggregation around the catheter and the insertion site. Clots, no matter what shape or size, have this incredible ability to fuck up your day properly, sometimes with really hectic consequences. They can also kill. So YES to heparin when having a central or PICC line placed. It saves either a lot of trouble, or it saves lives.
Not indefinitely (e.g. may not want to do that for intubated patients as it increases the risk of VAP), but if you want an accurate reading you should zero the sensor and measure it at that time. A non-zeroed non-supine measurement may not be that accurate. As always, correlate the number with the physical exam and other measures of volume status e.g. IVC size and collapsibility on ultrasound.
1:55 300mm Hg, I suppose. Instead of Ag 😮😮
Why heparin ?
to prevent thrombosis
It may occlude the lumen of the CVC, so heparinised saline or D5W is used. It is also used in invasive arterial lines.
@@markarca6360 How does it occlude if its continuous reading and continuous pressure flow?
Its for clotting
We need that bit of heparin to keep everything open and flowing that needs to be open and flowing. It's a low dose, it's reversible, and it's prophylactically (as precaution) administered to minimize the risks of thrombosis and reduce the possibility of clot aggregation around the catheter and the insertion site.
Clots, no matter what shape or size, have this incredible ability to fuck up your day properly, sometimes with really hectic consequences. They can also kill.
So YES to heparin when having a central or PICC line placed. It saves either a lot of trouble, or it saves lives.
Cvp seems really, is it accurate though?
So are we keep then supine position?
Yes
Not indefinitely (e.g. may not want to do that for intubated patients as it increases the risk of VAP), but if you want an accurate reading you should zero the sensor and measure it at that time. A non-zeroed non-supine measurement may not be that accurate. As always, correlate the number with the physical exam and other measures of volume status e.g. IVC size and collapsibility on ultrasound.
Thanku 🙏😍
Thanks ❤
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