Document Detail


The axillary vein central venous catheter in severely burned patients.
MedLine Citation:
PMID:  10630859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In severely burned patients the approach to the central vein is often difficult due to concomitant edema, but also due to the fact that the skin area, where commonly used approaches are performed, is burned as well, whereas the axillary region is often not involved. In order to perform an axillary approach to the central vein as an alternative to the commonly used approaches in patients, an anatomical dissection in fresh human cadavers was carried out. Considering the anatomical landmarks which were found during dissection of the axillary region, the axillary approach to the central vein was used in 35 patients in our intensive burn care unit with unaffected axillary skin. In three cases the only complication observed was an occasional puncture of the axillary artery without major hematoma. The infection rate of the catheters was similar to the commonly used puncture sites. This approach to the central venous line in severely burned patients can be recommended.
Authors:
H Andel; M Rab; M Felfernig; D Andel; R Koller; L P Kamolz; M Zimpfer
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  25     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-02-04     Completed Date:  2000-02-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  753-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Intensive Care, Vienna Medical School, University of Vienna, Austria. h.andel@akh-wien.ac.at
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Axillary Vein* / anatomy & histology
Burn Units
Burns / therapy*
Cadaver
Catheterization, Central Venous / methods*
Female
Humans
Male
Middle Aged
Punctures

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


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