| A prospective randomized clinical assessment of a new pigtail central venous catheter in comparison with standard alternatives. | |
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MedLine Citation:
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PMID: 10631421 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Cook Pigtail central venous catheter (CVC) has been designed to diminish the risk of vascular perforation and consequent cardiac tamponade. With the participation of 12 consultant anaesthetists and 19 registrars, adults undergoing elective surgery were randomized to receive either a Pigtail (n = 101) or their consultant anaesthetists' "standard" CVC (n = 102). Median ease of insertion was rated 8 for Pigtail CVCs and 9 for standards (10 being best; P = 0.001). Arrhythmias occurred during 16 standard and 33 Pigtail central venous catheter insertions (P < 0.006). No significant difference was found in insertion time or radiographically assessed tip depth for standard and Pigtail central venous catheters. A perforated right atrium of uncertain cause occurred in a patient who received an Arrow triple-lumen central venous catheter. Participating consultant anaesthetists preferred their "standard" central venous catheter for routine use, but five indicated that they would select a Cook Pigtail where long-term use was planned because of in vitro evidence of its greater safety. |
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Authors:
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A F Merry; C S Webster; I C Van Cotthem; R L Holland; J S Beca; N G Middleton |
Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 27 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 1999 Dec |
Date Detail:
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Created Date: 2000-02-01 Completed Date: 2000-02-01 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 639-45 Citation Subset: IM |
Affiliation:
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Anaesthesia Department, Green Lane Hospital, Auckland, New Zealand. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Catheterization, Central Venous / adverse effects, instrumentation* Equipment Design Humans Jugular Veins Middle Aged Prospective Studies Subclavian Vein Surgical Procedures, Elective |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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