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Patients with dementia/delirium

BEDSIDE VASCULAR ACCESS SERVICE

 

Peripheral venous cannulae should be selected for short term therapy of 3-5 days.

When therapy is expected to last longer than 5 days an appropriate vascular access device should be considered.

Midlines and Peripherally Inserted Central Catheters (PICCs) offer long term venous access. Having the devices placed at the patients bedside reduces patient movement and exacerbation of their condition.

DESIRABLE OUTCOMES:

Reliable venous access.

A device from which bloods can be taken, IV therapies can be given and can remain insitu for duration of treatment.

Reduced risk of multiple venous punctures. Technical success is increased by using ultrasound guidance.

Vein preservation.

Patient discomfort minimised by using local anaesthetic.