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Ultrasound‐guided catheterization of the femoral artery in a canine model of acute hemorrhagic shock
Author(s) -
Pavlisko Noah D.,
Soares João Henrique N.,
HenaoGuerrero Natalia P.,
Williamson Ellen J.
Publication year - 2018
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/vec.12767
Subject(s) - medicine , femoral artery , ultrasound , lumen (anatomy) , blood pressure , artery , catheter , arterial catheter , shock (circulatory) , anesthesia , hematoma , surgery , radiology
Objective To describe a technique for gaining ultrasound‐guided access to the femoral artery in an experimental model of acute hemorrhagic shock in anesthetized dogs. Case Series Summary Five healthy, purpose‐bred adult male intact Beagles were enrolled in a respiratory mechanics study under general anesthesia. Upon completion of the primary study a hypovolemic state was induced by blood removal to achieve a mean arterial pressure ≤ 55 mm Hg. Dogs were positioned in dorsal recumbency with the hind limb extended caudally. An ultrasound probe was applied to the medial aspect of the hind limb and positioned in the transverse orientation so that the femoral artery was visualized in its short axis. The artery was identified by lack of compression and presence of visible pulsation. The probe was rotated 90° into the longitudinal orientation such that the artery was visualized in its long axis. Under ultrasound guidance a 19‐gauge introducer needle was advanced into the lumen of the femoral artery. Using a modified Seldinger technique the needle was removed and a catheter was placed in the femoral artery. Correct placement of the catheter was verified by observation of the characteristic arterial blood pressure waveform. Upon completion of the study dogs were humanely euthanized. The femoral artery was successfully catheterized in 4/5 dogs and a hematoma was reported in 1/5 dogs. New or Unique Information Provided Ultrasound‐guided femoral artery catheterization is feasible on anesthetized dogs with concurrent acute hemorrhagic shock.