Vascular access for acute haemodialysis.

Gibson, Tracey; Dyer, Daniel; Postlethwaite, R J; Gough, D. C. S.

doi:10.1136/adc.62.2.141

Cited by 3 publications

(1 citation statement)

References 9 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acute and chronic, medical and surgical cases of all age groups may need at some point of their management the successful introduction of a central venous line. This is the case in central venous pressure measurement, a central route for infusion of inotropic drugs, a long lasting line for chemotherapy, and intravenous feeding (Riella and Scribner, 1976;Gibson et al, 1987;Weeks-Lozano, 1991;Agee and Balk, 1992).…”

Section: Introductionmentioning

confidence: 97%

Brachiocephalic veins: An overlooked approach for central venous catheterization

2002

View full text Add to dashboard Cite

Central venous access is important in both assessment and treatment of the patient. In modern clinical practice, a percutaneous approach is preferred. The well-established subclavian and internal jugular vein catheterization techniques, however, still carry the risk of major acute complications. In this article we describe a trial study of a percutaneous brachiocephalic vein catheterization technique conducted on a total of 74 cadavers undergoing autopsy. Relying on constant and easily recognizable anatomical landmarks, we performed a total of 128 catheterizations of the right and left brachiocephalic veins. The success of catheterization was ascertained by regional dissection. Our results show very high reproducibility with a success rate of about 97% on the first attempt of catheterization on both right and left sides. Equally important, collateral injury of neighboring structures was consistently absent. We propose the introduction of this rather overlooked approach into clinical practice.

show abstract

Section: Introductionmentioning

confidence: 97%