Ultrasound-Guided Central Venous Catheter Placement by Surgical Trainees: A Safe Procedure?
| Autor: | Marijn Hameeteman, Frank M. van der Sande, A.G. Peppelenbosch, A.S. Bode, Jan H.M. Tordoir |
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| Přispěvatelé: | Surgery, Interne Geneeskunde, RS: CARIM School for Cardiovascular Diseases, RS: NUTRIM School of Nutrition and Translational Research in Metabolism |
| Rok vydání: | 2010 |
| Předmět: |
Male
Catheterization Central Venous medicine.medical_specialty medicine.medical_treatment Radiography Interventional Risk Assessment Catheters Indwelling Risk Factors Surgical trainees Ambulatory Care Humans Medicine Fluoroscopy Hospitals Teaching Internal jugular vein Ultrasonography Interventional Netherlands Placement Catheter insertion medicine.diagnostic_test business.industry Pneumothorax Equipment Design Middle Aged Vascular System Injuries medicine.disease Central venous catheters Surgery Catheter Parenteral nutrition Education Medical Graduate Nephrology Hemodialysis Anesthesia Female Clinical Competence business Vascular Surgical Procedures Subclavian vein Central venous catheter |
| Zdroj: | Scopus-Elsevier Journal of vascular access, 11(4), 288-292. SAGE Publications Ltd |
| ISSN: | 1724-6032 1129-7298 |
| DOI: | 10.5301/jva.2010.2372 |
| Popis: | Background Central venous catheters (CVCs) are widely used to create a temporary or long-term access to the central venous system. A variety of treatments require a functional central venous access, including hemodialysis, administration of drugs, plasmapheresis and parenteral nutrition. The aim of this study was to evaluate the results of CVC placement performed by surgical trainees, according to a strict protocol of ultrasound-guided puncture and fluoroscopy-guided catheter insertion in a large teaching hospital in an outpatient setting. Methods Between 1 January 2006 and 31 December 2008, 539 CVCs were placed, of which 486 were primary inserted by surgical trainees. All placements were ultrasound- and fluoroscopy-guided. After every placement operators recorded type of catheter, type of anesthesia, subcutaneous tunneling, technique of insertion and complications. Results The study population consisted of 52% males. Access sites of CVCs were the internal jugular vein (91%), subclavian vein (5%) and other veins (3%). Technical success rate was 96.5%. Complication rate was 8.4%, of which 93% were arterial punctures. Pneumothorax occurred in three patients. Conclusions CVC placement by surgical trainees is a safe procedure when using a strict protocol of ultrasound-guided vessel puncture and fluoroscopic-guided catheter placement. |
| Databáze: | OpenAIRE |
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