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What is performed first, arterial or venous cannulation? Why?

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Final answer:

Arterial cannulation is typically performed before venous cannulation because the arterial system is a high-pressure system which is essential for accurate blood pressure monitoring and blood sample analysis, whereas the venous system is lower pressure and used mainly for administering medication and fluids.

Step-by-step explanation:

When initiating a cannulation procedure, arterial cannulation is often performed first. This is primarily due to the arterial system being a high-pressure system with arteries having thick walls that can sustain this pressure. Performing arterial cannulation first is critical as it allows for the accurate measurement and monitoring of systemic blood pressure and for obtaining blood samples to assess gases and pH levels. Arterial lines are often used during surgery and in intensive care settings. On the other hand, venous cannulation is generally easier and safer due to the lower pressure in the veins. However, venous access is also crucial for the administration of medications, fluid resuscitation, and nutritional support.



The venous system contains veins with larger lumens and thinner walls than arteries and is a lower-pressure system. Veins often appear flattened and have valves to assist the unidirectional flow of blood back toward the heart. Invasive pressure measurements in the venous system are less common and are usually monitored during specific surgical procedures or in critical care settings.

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