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To the Editor:—
With regard to obtaining an intravenous route quickly, approximately ten patients were treated by the introduction of an intravenous catheter (Introcath) percutaneously into the femoral vein. This was done without disruption of cardiopulmonary resuscitation, by palpating the external cardiac-massage-induced pulsation of the femoral artery as a landmark and introducing the needle and then catheter medially as one might do at cardiac catheterization. A guide wire has not been necessary.In most cases, this intravenous route has been secured in less than a minute and in considerably less time than required for a cutdown started simultaneously. The latter may be completed if the percutaneous route is unsuccessful. In one case of successful resuscitation, the femoral artery was punctured but no untoward sequelae resulted. I would recommend this as the method of choice for those with facility in femoral-vein puncture.
Robertson T. Emergency Establishment Of Intravenous Route. JAMA. 1966;197(9):732. doi:10.1001/jama.1966.03110090096033
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