Related Experiment Video

Updated: Aug 16, 2026

Use of an Integrated Low-Flow Anesthetic Vaporizer, Ventilator, and Physiological Monitoring System for Rodents
06:57

Use of an Integrated Low-Flow Anesthetic Vaporizer, Ventilator, and Physiological Monitoring System for Rodents

Published on: July 9, 2020

A review of an anaesthetic led vascular access list

S Galloway1, A Sharma, J Ward

  • 1Department of Anaesthesia, The General Infirmary at Leeds, Great George Street, Leeds LS1 3EZ, UK.

Anaesthesia
|July 21, 2005
PubMed

Insights

A dedicated anesthesia-led vascular access service efficiently managed over 1000 central venous catheter insertions. This model improved patient care and provided a valuable training environment for anesthesiologists.

Area of Science:

  • Vascular Surgery
  • Anesthesiology
  • Medical Services Organization

Background:

  • Increasing demand for long-term central venous (Hickman type) catheters necessitates efficient and safe service organization.
  • Dedicated vascular access lists can streamline procedures and improve patient outcomes.

Purpose of the Study:

  • To review the outcomes of a dedicated, anesthesiologist-led vascular access list over a 61-month period.
  • To assess the safety, efficiency, and patient reception of this specialized service.

Main Methods:

  • Retrospective review of 1000 central venous catheter insertions performed over 61 months.
  • Procedures performed under local anesthesia with sedation/analgesia, utilizing ultrasound and fluoroscopy guidance.
  • Data collection on procedure types, patient disposition (day-case vs. inpatient), cancellations, and complications.

Main Results:

  • 1000 procedures performed; 920 catheters inserted, 80 removed.
  • 53% day-case, 43% inpatient; only 1.5% required unexpected overnight stay.
  • 9% same-day cancellations due to patient factors; ultrasound guidance increased from 14% to 100%.

Conclusions:

  • A dedicated anesthesiologist-led vascular access service is safe, efficient, and well-received by patients and oncology services.
  • This model offers a valuable training platform for advanced central venous access techniques.
  • The service structure may serve as a template for other institutions.

More Related Videos

Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model07:20

Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model

Published on: February 10, 2023

Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Local Anesthetics: Pharmacokinetics01:13

Local Anesthetics: Pharmacokinetics

The potency and duration of action of local anesthetics (LAs) are determined by their pharmacokinetics. Pharmacokinetics describes how LAs are absorbed, distributed, metabolized, and eliminated from the body. When administered to the vascular tissues, LAs are quickly absorbed and enter the systemic circulation, reducing their localized effects. Adding vasoconstrictors such as epinephrine to LAs reduces their absorption into the systemic circulation, making them clinically effective. The...
Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...