Abstract

Critically ill patients in the emergency department (ED) and intensive care unit (ICU) often require invasive vascular access for monitoring and treatment. The Seldinger technique has remained the standard for vessel cannulation since it was developed over 50 years ago. The current procedure requires fine motor control at several steps including needle stabilization during guidewire insertion. Ultrasound has been incorporated into the procedure but the current technique does not allow for real time visualization of guidewire advancement.

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