Document Detail

Ultrasound-guided insertion of subclavian venous access ports.
MedLine Citation:
PMID:  15720903     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Central venous cannulation is an integral part of venous access port (portacath) placement for intravenous chemotherapy. NICE guidelines have suggested that CVC should be performed under ultrasound guidance. The technique of ultrasound-guided subclavian cannulation is reviewed and our experience presented. PATIENTS AND METHODS: Retrospective analysis of data on patients undergoing ultrasound-guided portacath placement for the failure rate and the incidence of complications. RESULTS: We were successful in cannulating the subclavian vein in 44 of 55 patients. There was one arterial puncture and no haemothorax or pneumothorax with the technique (complication rate 1.8%). CONCLUSION: An ultrasound-guided approach should be the standard technique for central venous cannulation in portacath placement.
A J Brooks; M Alfredson; B Pettigrew; D L Morris
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  87     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-21     Completed Date:  2005-03-07     Revised Date:  2010-03-23    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  25-7     Citation Subset:  IM    
University of New South Wales Department of Surgery, St George Hospital, Kogarah, Sydney, NSW 2217, Australia.
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MeSH Terms
Catheterization, Central Venous / methods*
Catheters, Indwelling
Retrospective Studies
Subclavian Vein*
Ultrasonography, Interventional / methods*

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