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Related Experiment Videos

Subclavian catheterization using the peel away sheath

R M Vazquez

    Surgery, Gynecology & Obstetrics
    |December 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    This study presents a refined Seldinger technique for percutaneous central venous catheter placement, enhancing patient safety and accurate device positioning. The method demonstrated a low rate of malposition and no technical complications in 50 patients.

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    Area of Science:

    • Vascular Access Procedures
    • Medical Device Placement
    • Patient Safety in Interventional Medicine

    Background:

    • Percutaneous central venous catheter placement is a common medical procedure.
    • Optimizing technical details is crucial for patient safety and accurate catheter positioning.
    • Existing methods may have limitations in terms of safety and accuracy.

    Purpose of the Study:

    • To describe and evaluate a refined Seldinger technique for percutaneous central venous catheter insertion.
    • To assess the safety and accuracy of this method in clinical practice.
    • To demonstrate the applicability of the technique with various commercially available devices.

    Main Methods:

    • Utilized the Seldinger technique for vascular access.
    • Employed a medium bore needle to locate the target vein and guide wire insertion.

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  • Focused on minimizing tissue trauma during the procedure.
  • Introducer sheath removal prior to dressing placement was incorporated.

    • Main Results:

    • The refined technique was applied to 50 patients for subclavian catheter placement.
    • A single instance of catheter malposition was observed (2% incidence).
    • No technical complications related to catheter insertion or catheter sepsis were reported.

    Conclusions:

    • The described Seldinger technique refinement effectively achieves goals of enhanced patient safety and accurate catheter positioning.
    • This method is suitable for inserting various commercially available central venous catheters.
    • The technique shows a favorable safety profile with a low incidence of malposition and no insertion-related complications.