Roland NNP

Fully supported.

Thank you for this valuable discussion. From my experience, ultrasound-guided vascular access has significantly improved precision and reduced complications. But there is more…….. Establishing dedicated vascular access teams is essential, not only to ensure the highest level of expertise but also for continuity and quality of care. Additionally, we need to realize not all catheter plastics are the same—PUR and PTFE (both plastics) have distinct properties. Arterial catheters differ from short peripheral ones, and with larger diameter catheters, the catheter-to-vessel ratio must be carefully assessed. It’s always a complex challenge balancing skills, knowledge, available materials, and methods to optimize patient outcomes.