- Joined
- Apr 26, 2006
- Messages
- 264
- Reaction score
- 85
I asked because as an IM resident, it's the procedure I've had the most problem with, and most surgeons seem to swear by the 2 holes method though I've been hesitant to try it.
CT PA here. I do 5+ Aline's a day. Every single one is through and through. To me through and through is the best way to know you are in the artery. I won't say I'm the best, but I rarely don't get a line quickly.
90% of the time I use an 18ga Jelco & no wire. I'll pull back to get flash and then insert the needle a few cm back into the catheter, then thread the catheter over it.
In the ICU I'll use an Argon kit or the Arrow kit, just because it's easier. I still go through and through.
I've watched a lot of residents struggle with Aline's and most of the time switching to through & through helps.