Document Detail


Experience of anesthesiologists with percutaneous nonangiographic venous access.
MedLine Citation:
PMID:  18083475     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To compare percutaneous nonangiographic insertion of a venous access device with a standard surgical cutdown insertion technique. DESIGN: Prospective, controlled, randomized study. SETTING: Operating room and anesthesia induction room of a university hospital. PATIENTS: 100 consecutive oncology patients scheduled for intravenous chemotherapy. INTERVENTIONS: Patients were randomized to two groups: (1) The percutaneous group received implantation through the internal jugular vein by experienced anesthesiologists, whereas (2) the surgical group received venous cutdown insertion through the cephalic or subclavian vein by surgeons (n = 50 for each group). MEASUREMENTS: Duration of procedure, long-term device function, complications such as hematoma formation, infection, hemothorax, pneumothorax, and patients' satisfaction with the placement procedure at two months of follow-up were all measured and recorded. MAIN RESULTS: The percutaneous technique was found to have several advantages, including reduced time for insertion and greater patient satisfaction with procedure. The percutaneously implanted devices also had fewer insertion-associated complications. CONCLUSION: The simplified, percutaneous, nonangiographic technique is as effective as the traditional venous cutdown technique and can be safely done by surgeons as well as by experienced physicians who are not surgeons.
Authors:
Pin-Tarng Chen; Chun-Sung Sung; Chao-Chun Wang; Kwok-Hon Chan; Wen-Kuei Chang; Wen-Hu Hsu
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of clinical anesthesia     Volume:  19     ISSN:  0952-8180     ISO Abbreviation:  J Clin Anesth     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-17     Completed Date:  2008-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8812166     Medline TA:  J Clin Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  609-15     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Taipei-Veterans General Hospital and National Yang-Ming University, Taipei 112, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anesthesiology / statistics & numerical data*
Catheterization, Central Venous / adverse effects,  methods*,  statistics & numerical data
Catheters, Indwelling / adverse effects,  statistics & numerical data
Clinical Competence / statistics & numerical data*
Female
Follow-Up Studies
Humans
Jugular Veins
Male
Medical Illustration
Middle Aged
Patient Satisfaction
Physicians / standards,  statistics & numerical data*
Postoperative Complications
Prospective Studies
Subclavian Vein
Time Factors
Treatment Outcome
Venous Cutdown / adverse effects,  methods*,  statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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