Vascular Access
Vascular Access - Related Videos
05:16
An Ultrasound-Guided Vascular Access Procedure in an Anesthetized Pig
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2026
Source:Rui Cerqueira1,2, Liliana Costa1, André Leite-Moreira1, Adelino Leite-Moreira1,2, André Lourenço1, Pedro Mendes-Ferreira11Department of Surgery and Physiology, Faculty of Medicine of the University of Porto.2Department of Cardiothoracic Surgery, Hospital Universitário de São João.The video demonstrates a procedure for obtaining vascular access in an anesthetized pig using ultrasound guidance. After disinfecting the site and administering local anesthesia, an ultrasound probe is used to...
08:51
Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model
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2023
A reliable and reproducible approach for the insertion and maintenance of a tunneled Hickman catheter for long-term vascular access in swine is described. Placement of a central venous catheter allows for convenient daily sampling of whole blood from awake animals and intravenous administration of medication and fluids.
14:37
Accessibility to Clinical Care for People who use Wheelchairs
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2023
Source: Yetsa Tuakli-Wosornu1,2, Jaideep Talwalkar1; 1Yale School of Medicine, 2University of Pittsburgh In the United States, 25% of the general population suffers from one or another type of disability. Ambulatory disabilities, or mobility impairments, represent the most common subcategory, comprising 14% of the country's populace. Different mobility-assistive devices, ranging from canes to scooters, enable increased independence and improved quality of life for those suffering from mobility...
06:04
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Cited by 1 •
2025
An upper-extremity approach for secondary access during transfemoral transcatheter aortic valve implantation is associated with fewer secondary access site-related bleeding complications and reduces time to mobilization in patients requiring extended pacing. This protocol aims to provide an extensive overview of the upper-extremity approach and guide operators in adopting this methodology.
06:15
Evaluation of Bioenergetic Function in Cerebral Vascular Endothelial Cells
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Cited by 11 •
2016
Endothelial cell mitochondria are critical to maintain blood-brain-barrier integrity. We introduce a protocol to measure bioenergetic function in cerebral vascular endothelial cells.
FAQs
Site selection should match the clinical purpose, the required type of vessel access, and the need to preserve vessel integrity. Venous routes support treatment delivery, whereas arterial access is suited to direct blood-pressure measurement and blood sampling. Choosing an appropriate site helps establish reliable flow while reducing tissue injury and the likelihood of access-related complications.
Peripheral, central, and arterial access serve different clinical functions. Peripheral and central routes are used for venous treatment, while arterial access provides direct blood-pressure measurement and blood sampling. This distinction guides clinicians toward an access pathway that fits the intended therapy or monitoring task rather than treating all vessel access as interchangeable.
Sterile technique and securement work together to protect the access pathway. Sterile practice helps limit contamination, while securement keeps the needle or catheter positioned so treatment can continue and tissue injury is minimized. These measures are especially important because vascular access can be complicated by infection, bleeding, thrombosis, or infiltration.
Ongoing assessment is necessary after insertion because a usable pathway can develop complications during care. Clinicians assess the access site and its function to identify problems such as infection, bleeding, thrombosis, or infiltration. Early recognition supports safer continuation of treatment or monitoring and helps prevent a local problem from compromising the intended clinical use.
A basic vascular-access workflow includes selecting the site, using a needle or catheter to enter the vessel, securing the device, and checking that flow or sampling remains possible. Sterile technique is part of the insertion process, while continued assessment follows placement. Together, these steps establish controlled access and help limit tissue injury and other complications.
Clinical teams use vascular access when patients need fluid resuscitation, medication administration, transfusion, or long-term therapy. Arterial access adds direct blood-pressure monitoring and blood sampling, making it relevant when clinicians need hemodynamic information. These applications explain its broad role across emergency, surgical, and inpatient medicine, where delivery and monitoring often occur together.