Arterial access SOP

Question 1

Under what circumstances can arterial access be considered?

Answer 1

Should:
- Pre PHEA for TBI/medical head
- Any patient post-PHEA
May:
- During cardiac arrest
- Haemodynamic instability where IBP might be useful

Question 2

Describe the process of troubleshooting an A. line

Answer 2

1. Check the NIBP
2. Transducer at the heart
3. Pressure bag
4. Check for bubbles
5. Flush
6. Check for kinks
7. Re-zero