Vascular Surgery

4 flashcards · Other · by Arielle Thomas

1. What is Steal Syndrome

   A condition in which blood flow is diverted away from the hand and fingers, causing pain, numbness, and weakness, which can occur in hemodialysis access surgery.

2. What are the Steps of a Supraclavicular block

   Place the patient in a supine position with the head turned away from the side being blocked. Identify the clavicle and the sternocleidomastoid muscle. Locate the supraclavicular fossa by palpating the posterior border of the clavicle, the clavicular head of the sternocleidomastoid muscle, and the lateral border of the anterior scalene muscle. Clean the skin with antiseptic solution and drape the area. Infiltrate the skin and subcutaneous tissue with local anesthetic. Insert the needle at the l…

3. Rule of 6's

   The artery should be at least 6 mm in diameter. The vein should be at least 6 mm in diameter. The depth of the vein should be less than 6 mm from the skin surface. The distance between the artery and vein should be less than 6 cm. The length of the fistula should be at least 6 cm. The blood flow rate should be at least 600 mL/min.

4. Appropriate sizes for AVF placement

   Vein: >=2.5mm, at least 4mm Artery at least 2mm