Bard Access Systems
10
Bard Access Systems
9
11. Insert and Advance the Catheter
1. Insert the catheter and stylet as a unit
into the microintroducer sheath.
2. Advance the catheter slowly.
12. Retract and Remove the Microintroducer Sheath
1. Stabilize the catheter position by apply-
ing pressure to the vein distal to the
microintroducer sheath.
2. Withdraw the microintroducer sheath
from the vein and away from the site.
3. Split the microintroducer sheath and peel
it away from the catheter.
9. Removing Dilator and Guidewire
1. Rotate locking collar of dilator and remove
dilator from sheath.
2. Withdraw the dilator and guidewire, leav-
ing the small sheath in place. WARNING:
Place a finger over the sheath opening to
minimize blood loss and risk of air aspira-
tion. The risk of air embolism is reduced
by performing this part of the
procedure with the patient performing the
Valsalva maneuver or by attaching a
syringe or injection cap to the dilator to
reduce blood flow while trimming the
catheter.
10. Modification of Catheter Length
Note:
Catheters can be cut to length if
a different length is desired due to
patient size and desired point of inser-
tion according to hospital protocol.
Catheter depth markings are in cen-
timeters.
1. Measure the distance from the insertion site (zero mark) to the desired
tip location.
2. Using the guidewire to indicate desired length, retract the stylet behind
the point the catheter is to be cut.
3. Using a sterile scalpel or scissors, carefully cut the catheter according
to institutional policy if necessary.
4. Caution: Do not cut stylet.
5. Inspect cut surface to assure there is no loose material.
6. Re-advance the stylet to the distal end of the trimmed catheter.