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Chronic venous access: bedside placement technique and complications

P M Goldfarb, D Coldwell

    Cancer Practice
    |July 1, 1994
    PubMed
    Summary

    This study presents a safe bedside technique for long-term tunneled venous access catheter placement, reducing operating room reliance. It details complication management and highlights potential cost savings for healthcare.

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    Area of Science:

    • Medical Devices
    • Vascular Access
    • Surgical Procedures

    Background:

    • Long-term tunneled venous access catheters are crucial for patient care.
    • Current implantation predominantly occurs in operating rooms, requiring significant resources.
    • There is a need for alternative, efficient placement methods.

    Purpose of the Study:

    • To describe a safe and effective technique for bedside placement of tunneled venous access catheters.
    • To outline methods for identifying, preventing, and managing common complications.
    • To evaluate the efficacy and cost-effectiveness of bedside catheter placement.

    Main Methods:

    • Description of a specific bedside catheter insertion technique.
    • Review of 8 years of authors' experience with bedside placements.
    • Analysis of a hospital quality assurance study on bedside placement efficacy.

    Main Results:

    • Successful bedside placement is achievable with appropriate training and technique.
    • Identification and management strategies for common complications were detailed.
    • The study suggests significant potential for cost savings through bedside procedures.

    Conclusions:

    • Bedside placement of tunneled venous access catheters is a safe and viable alternative to operating room procedures.
    • Properly trained personnel are key to successful and safe bedside catheter insertion.
    • Implementing bedside placement can lead to substantial healthcare cost reductions.

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