Anaes Cases · Invasive monitoring
Arterial line insertion and the complications
The arterial line long case — the radial site (the Allen test), the Seldinger technique, the ultrasound guidance, the zeroing/levelling, the complications (the haematoma, the thrombosis, the ischaemia), and the waveform information.
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Prompt
A 75-year-old man for a major vascular surgery needs an arterial line. Discuss the site selection, the technique, the complications, and the information you expect to gain from the monitoring.
Presentation
A 75-year-old man with a peripheral vascular disease and a hypertension is scheduled for an open aortic aneurysm repair. The anaesthetist plans an arterial line. Discuss the site selection, the technique, the complications, and the information you expect to gain from the monitoring.
References2ShowHide
- [3]Kane AD, et al. Continuous ARterial monitoring in Elderly and Frail patients for hip fractUre surgery to prevent Low blood pressure - the CAREFUL Study Protocol. Anaesthesia Reports, 2026.PMID 41971679
- [41971680]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.