Anest. intenziv. Med. 2025;36(2):102-105 | DOI: 10.36290/aim.2025.021

Long-term vascular access in anesthesiology and intensive care medicine and tunnelizationShort Communication

Brožek T.^{1, 2}, Dovjak P.³, Chovanec V.^{4, 5}, Kletečka J.^{6, 7}, Nosková P.^{1, 2}, Astapenko D.^{5, 8-10}

¹ Klinika anesteziologie, resuscitace a intenzivnî medicîny, Všeobecná fakultní nemocnice Praha

² 1. lékařská fakulta v Praze, Univerzita Karlova

³ Anesteziologicko­‑resuscitační oddělení, Městská nemocnice Čáslav

⁴ Radiologická klinika, Fakultní nemocnice Hradec Králové

⁵ Lékařská fakulta v Hradci Králové, Univerzita Karlova

⁶ Klinika anesteziologie, resuscitace a intenzivnî medicîny, Fakultnî nemocnice Plzeň

⁷ Lékařská fakulta v Plzni, Univerzita Karlova

⁸ Klinika anesteziologie, resuscitace a intenzivnî medicîny, Fakultnî nemocnice Hradec Králové

⁹ Fakulta zdravotnických studiî, Technická univerzita v Liberci

¹⁰ Department of Anaesthesia, Dalhousie University, Halifax, Nova Scotia, Canada

Long-term venous accesses are now an integral part of complex patient care. They have also found their way into the field of anesthesiology and intensive care. Mostly, long-term access is inserted in specialized outpatient clinics or vascular access centers, often under the supervision of anesthesiologists. This short review article discusses the types of long-term accesses, the possibilities of their use in our field, and tunneling, which moves the so-called exit site into a safe zone and thus, together with ultrasound navigation during insertion, allows the vascular access to be tailored exactly to the patient and to deviate from the old dogmatic approach using the rules of anatomical landmarks.

Keywords: long-term vascular access, tunnelization, anesthesiology, intensive care medicine.

Received: June 3, 2025; Revised: June 3, 2025; Accepted: June 9, 2025; Published: June 27, 2025  Show citation