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- Feb 4, 2014
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How many of you all put arterial lines in pts on pressors ? My partners tend to get by with cuff pressures claiming that people stay on pressors longer when arterial lines are in place. I on the other hand place art lines on all ICU pt who's SBP drops below 90 or MAP <65 mmhg . Other folks will stay with cuff pressures even if the pt is on 0.2/mcg/kg/min of Levophed. My worry is that nurses react slowly to cuff pressures and they don't titrate the pressors aggressively or give boluses if they don't see the ticking arterial line pulsations.
I hate the Arrows but love the Argons in which you use seldinger technique . I like the spurt of blood with the Argons and then the argon catheters have 2 wings that I can suture through and the Aline stays in place for a week. We get a lot of problems with arrows placed in the OR they never stitch them in and they invariably peter out in 24 hrs.
It seems like arterial lines pay very poorly so many attendings get by without them in private practice. At our big Mother ship everybody gets an arterial line but its done by RT. At my smaller satellite I have do all of them.
I hate the Arrows but love the Argons in which you use seldinger technique . I like the spurt of blood with the Argons and then the argon catheters have 2 wings that I can suture through and the Aline stays in place for a week. We get a lot of problems with arrows placed in the OR they never stitch them in and they invariably peter out in 24 hrs.
It seems like arterial lines pay very poorly so many attendings get by without them in private practice. At our big Mother ship everybody gets an arterial line but its done by RT. At my smaller satellite I have do all of them.
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