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.
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.
Authors: Sumit Som; Cassandra C Deford; Mandi L Kaiser; Deirdra R Terrell; Johanna A Kremer Hovinga; Bernhard Lämmle; James N George; Sara K Vesely Journal: Transfusion Date: 2012-04-15 Impact factor: 3.157
Authors: R C Wragg; S Blundell; M Bader; B Sharif; J Bennett; I Jester; P Bromley; G S Arul Journal: Pediatr Surg Int Date: 2013-09-27 Impact factor: 1.827
Authors: Tristen T Chun; Dejah R Judelson; David Rigberg; Peter F Lawrence; Robert Cuff; Sherene Shalhub; Max Wohlauer; Christopher J Abularrage; Papapetrou Anastasios; Shipra Arya; Bernadette Aulivola; Melissa Baldwin; Donald Baril; Carlos F Bechara; William E Beckerman; Christian-Alexander Behrendt; Filippo Benedetto; Lisa F Bennett; Kristofer M Charlton-Ouw; Amit Chawla; Matthew C Chia; Sungsin Cho; Andrew M T L Choong; Elizabeth L Chou; Anastasiadou Christiana; Raphael Coscas; Giovanni De Caridi; Sharif Ellozy; Yana Etkin; Peter Faries; Adrian T Fung; Andrew Gonzalez; Claire L Griffin; London Guidry; Nalaka Gunawansa; Gary Gwertzman; Daniel K Han; Caitlin W Hicks; Carlos A Hinojosa; York Hsiang; Nicole Ilonzo; Lalithapriya Jayakumar; Jin Hyun Joh; Adam P Johnson; Loay S Kabbani; Melissa R Keller; Manar Khashram; Issam Koleilat; Bernard Krueger; Akshay Kumar; Cheong Jun Lee; Alice Lee; Mark M Levy; C Taylor Lewis; Benjamin Lind; Gabriel Lopez-Pena; Jahan Mohebali; Robert G Molnar; Nicholas J Morrissey; Raghu L Motaganahalli; Nicolas J Mouawad; Daniel H Newton; Jun Jie Ng; Leigh Ann O'Banion; John Phair; Zoran Rancic; Ajit Rao; Hunter M Ray; Aksim G Rivera; Limael Rodriguez; Clifford M Sales; Garrett Salzman; Mark Sarfati; Ajay Savlania; Andres Schanzer; Mel J Sharafuddin; Malachi Sheahan; Sammy Siada; Jeffrey J Siracuse; Brigitte K Smith; Matthew Smith; Ina Soh; Rebecca Sorber; Varuna Sundaram; Scott Sundick; Tadaki M Tomita; Bradley Trinidad; Shirling Tsai; Ageliki G Vouyouka; Gregory G Westin; Michael S Williams; Sherry M Wren; Jane K Yang; Jeniann Yi; Wei Zhou; Saqib Zia; Karen Woo Journal: J Vasc Surg Date: 2020-07-15 Impact factor: 4.860