Experience with Subclavian Vein for Vascular Access
| Autor: | Stanley B. Smith, Richard L. Hurwitz, Jock R. Wheeler, Marvin Goldberg, Duane G. Wombolt |
|---|---|
| Rok vydání: | 1981 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Vascular access Femoral vein General Medicine Subclavian Vein medicine.disease Catheterization Peritoneal dialysis Surgery Pneumothorax Renal Dialysis Anesthesia Humans Medicine business Complication Early discharge Subclavian vein Dialysis |
| Zdroj: | Clinical and Experimental Dialysis and Apheresis. 5:293-297 |
| ISSN: | 0276-5497 |
| DOI: | 10.3109/08860228109076022 |
| Popis: | We report our experience with the subclavian vein as a route for temporary vascular access. By modifying the technique described by Uldall one can place these catheters at the bedside without the need of a separate exit tunnel. They are easily maintained in place and allow for early discharge home while awaiting permanent vascular access maturation. The results of approximately 600 dialysis treatments showed adequate clearence with a mean postdialysis drop in creatinine of 5.0mg./dl. and BUN of 46mg./dl. Complication rates were minimal with no hemo or pneumothorax. The rate of complications between bedside and operating room placement was not different. We feel the low complication rate, the ease of insertion, and the patency at home makes this an attractive alternative to other means of temporary dialysis such as: peritoneal dialysis, repeat femoral vein catheterization or arteriovenous shunts. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|