Bard retrO, Инструкция по эксплуатации

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B. Vessel Puncture
Attach a syringe to the introducer needle and insert into the target vein with ultrasonic guid-
ance if available. Aspirate to ensure proper placement. Free blood flow indicates vessel entry.
If the blood is bright red or pulsating return is encountered, withdraw and redirect the needle.
Remove the syringe and place thumb over the end of the introducer needle to prevent blood
loss or air embolism. Once blood has been aspirated, slide the flexible end of the guidewire
back into advancer so that only the end of the guidewire is visible. Insert advancer’s distal end
into the needle hub.
Advance the flexible guidewire with forward motion into and past the needle hub into the
target vein. Insert the guidewire until the tip passes into and through the right atrium into the
inferior vena cava. Insertion length is dependant upon the patient size. Place the patient on a
cardiac monitor during the procedure to detect any sign of arrhythmia.
Caution: Do not pull the guidewire back through any component.
Caution: Use fluoroscopy or ultrasonic guidance to assure proper guidewire insertion
and placement.
Cardiac arrhythmias can result if guidewire is allowed to enter the right atrium. Use cardiac
rhythm monitoring to detect arrhythmias.
Remove the needle over the guidewire, making sure the guidewire is securely held through-
out removal of the needle.
Slide a 6 Fr sheath/dilator onto the wire and advance it through the skin and into the vein.
Be sure not to advance the guidewire. The guidewire must be stationary during the sheath/
dilator advancement.
Remove the dilator. Insert another wire through the sheath. Remove the sheath.
C. Vessel Dilation and Catheter Insertion
WARNING: NEVER ATTEMPT TO SEPARATE CATHETER LUMENS
Place the two intracatheter dilators provided into the lumens of the catheter. The intracath-
eter dilators have luers that lock onto the proximal end of the respective arterial and venous
luers on the catheter.
Slide the exposed end of one of the wires through the venous intracatheter dilator until it
exits the proximal venous end of the dilator.
Slide the appropriate vein dilator(s) over the other wire and advance them through the skin.
Serial dilation is preferred.
Remove dilator(s).
Caution: Do not leave vessel dilators in place any longer than necessary to avoid possible
vessel wall perforation.
Slide the exposed wire through the arterial intracatheter dilator until it exits the proximal
arterial end of the catheter.
Advance the wires until there is no slack in the wires between the distal end of the catheter
and the entry site.
Advance the catheter through the skin into the vessel. A slight torque in either direction may
be necessary to advance the catheter into the vein.
Ultrasonic guidance or fluoroscopy is highly recommended for proper placement.
Caution: Catheter tip placement in the appropriate location produces optimal blood flow
as outlined in KDOQI guidelines.