Cordis Placement POD — Maimonides Emergency Medicine ... | 合法醫療器材資訊網

2018年8月27日—CordisPlacementPOD·venousistowardthepenis·puncturesiteshouldbe1-​2cmdistaltotheinguinalligament·Alwaysaspiratetheplunger ...

If you can’t remember which side the vein is on, remember “

venous is toward the penis

”. The

puncture site should be 1-2cm distal to the inguinal ligament

.

 If the artery is palpable, enter 1cm medial to it. If it isn’t easily palpable, enter just above the webspace between your thumb and index finger as they are positioned on pubic symphysis and ASIS respectively.

Always aspirate the plunger while you advance.

Once you get flash, keep needle/syringe perfectly still in non-dominant hand braced on patient. Check once more that blood can be aspirated, then reach for wire with your dominant hand;

advance wire through syringe

(assuming you’re using the blue introducer syringe). It should advance smoothly. If it doesn’t, take out the wire, check that blo...