[Skip to Content]
[Skip to Content Landing]
Article
August 29, 1966

Emergency Establishment Of Intravenous Route

JAMA. 1966;197(9):732. doi:10.1001/jama.1966.03110090096033

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

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.

×