The retrograde tunnel: a method for the fixation of central venous catheters in the military environment

Autor:	G. A. Carss, R. A. Wheeler, T. J. W. Spalding, J. A. Thomas
Rok vydání:	1991
Předmět:	medicine.medical_specialty business.industry Anesthesia Medicine Central venous line General Medicine equipment and supplies business Patient transfer Surgery
Zdroj:	Journal of The Royal Naval Medical Service. 77:75-77
ISSN:	2634-4920 0035-9033
DOI:	10.1136/jrnms-77-75
Popis:	Central venous catheters (CVCs) are prone to accidental removal during patient transportation. Of the casualties who require transfer between medical facilities, those with CVC in situ require additional vigilance to prevent loss of the CVC, which continues to occur despite various methods of fixation. The fashioning of a subcutaneous tunnel has become an integral part of the placement of central venous catheters. Several methods have been described, but the long-term CVCs in paediatric practice pose special problems, particularly that of the patients continually testing the CVCs fixation. Using a new polyurethane CVC, a retrograde tunnelling technique has been developed which affords immediate and secure fixation. We propose that this CVC, together with the technique of retrograde tunnelling, is the solution to inadvertent central venous line removal during patient transfer.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::89aea36ad5632fc3c6a575ee7c936c73 https://doi.org/10.1136/jrnms-77-75 Zobrazit plný text záznamu