| Experience of anesthesiologists with percutaneous nonangiographic venous access. | |
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MedLine Citation:
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PMID: 18083475 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Pin-Tarng Chen; Chun-Sung Sung; Chao-Chun Wang; Kwok-Hon Chan; Wen-Kuei Chang; Wen-Hu Hsu |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 19 ISSN: 0952-8180 ISO Abbreviation: J Clin Anesth Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-12-17 Completed Date: 2008-03-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 609-15 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Taipei-Veterans General Hospital and National Yang-Ming University, Taipei 112, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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