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All surgeons need to know about vascular access. Here we review some preoperative, operative, and postoperative considerations of pediatric vascular access with Dr. Alex Bondoc from Cincinnati Children's Hospital, including indications, contraindications, work-up considerations, tips for placement, and postoperative considerations. Featuring information about locking solutions with Dr. Paul Wales. Hosts: Rod Gerardo, Ellen Encisco, Brittany Levy Additional information: Chest radiograph after fluoroscopic guided line placement: No longer necessary https://www.sciencedirect.com/science... Ethanol lock therapy to reduce the incidence of catheter-related bloodstream infections in home parenteral nutrition patients with intestinal failure: preliminary experience https://www.sciencedirect.com/science... Ethanol Locks to Prevent Catheter-Related Bloodstream Infections in Parenteral Nutrition: A Meta-Analysis https://publications.aap.org/pediatri... Prevention of catheter-related blood stream infections in children with intestinal failure https://journals.lww.com/co-gastroent... Reduction of Central Line–Associated Bloodstream Infections and Line Occlusions in Pediatric Intestinal Failure Patients Receiving Long‐Term Parenteral Nutrition Using an Alternative Locking Solution, 4% Tetrasodium Ethylenediaminetetraacetic Acid https://aspenjournals.onlinelibrary.w... 00:00 Introduction 00:56 Types of vascular access 01:53 Where to place central venous catheters 02:23 Indications for central access 02:41 Contraindications to central access 02:57 Preprocedural work-up considerations 03:53 Patient positioning 04:28 Neonatal access considerations 05:05 Imaging guidance for access 06:42 Tips for subclavian access 07:46 Tips for getting the catheter tip in the right location 09:02 Postprocedural complications 09:32 Management of line infections 10:34 Locking solutions 12:08 Additional considerations 13:26 Conclusion Don't forget to like and subscribe to see more entertaining medical educational videos! See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-cur...