Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 129: Vascular Access with Dave Berman
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Jul 14, 2019 Dr. Dave Berman, an assistant professor of anesthesiology and vascular access expert, returns to explore the fascinating world of vascular lines. He discusses the pros and cons of various access devices, highlighting when and how to choose them effectively. The conversation dives into catheter flow physics, explaining how factors like radius and viscosity impact flow rates. Berman also emphasizes practical tips for peripheral IVs, specialized options like PICC lines, and the significance of understood sizing systems as he unpacks the crucial decisions anesthesiologists must make.
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Anesthesiologists Are One-Stop-Vascular Specialists
- Anesthesiologists uniquely place and use their own vascular access devices, so they must understand how they work.
- Good vascular access is essential to safe titration and monitoring of therapies.
Choose Access Based On Three Factors
- Consider patient, procedure, and surgeon when choosing vascular access.
- Match access size and location to surgical plans and anticipated needs.
Preop Surgeon Chats Changed The Plan
- Dr. Berman emails surgeons and reviews imaging pre-op to decide on bigger access for hepatobiliary cases.
- He sometimes upgrades planned access after learning about intraoperative vascular involvement.