Document Detail

Long-term venous access: indications and choice of site and catheter.
MedLine Citation:
PMID:  9304728     Owner:  NLM     Status:  MEDLINE    
Advances in treatment of malignancy, infection, renal failure, and malnutrition have expanded the need for long-term venous access. The placement of central venous catheters (CVC) requires preoperative evaluation to identify associated risk factors such as coagulopathy, thrombocytopenia, leukopenia, and variations in the vascular anatomy. When selecting a venous access catheter, it is important to consider its purpose, duration, and who will maintain it. The technique of inserting a catheter into the central venous system has become standardized by Seldinger. Catheters now are prepackaged in kits equipped for percutaneous placement. Knowledge of the technical aspects of placing a CVC can prevent early occlusion and dislodgment. With the increasing numbers of CVCs being inserted, it is possible to overuse the common sites for placement. We describe techniques that have been developed to use alternate routes for venous access.
S W Taber; T M Bergamini
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in vascular surgery     Volume:  10     ISSN:  0895-7967     ISO Abbreviation:  Semin Vasc Surg     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-10-30     Completed Date:  1997-10-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8809602     Medline TA:  Semin Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  130-4     Citation Subset:  IM    
Department of Surgery, University of Louisville School of Medicine, KY 40292, USA.
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MeSH Terms
Catheterization, Central Venous / instrumentation,  methods*
Catheters, Indwelling
Preoperative Care
Time Factors

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