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Canadian Anaesthetists’ Society Journal

, Volume 26, Issue 2, pp 128–131 | Cite as

Introduction of central venous pressure catheters through arm veins with a high success rate

  • B. Berly Bridges
  • Edward Carden
  • Frank A. Takacs
Article

Summary

Studies were carried out to develop a more successful method of inserting central venous catheters through arm veins without using electrocardiographic or fluoroscopic monitoring. It was found that a running infusion attached to a Sorensen catheter gave a success rate of 48 per cent. The highest success rates (98 per cent) occurred when the basilic vein was used, with the patient positioned so that the upper part of the body was raised at 45-90 degrees to the horizontal and using a Bardic 16 gauge catheter with a special insertion technique, which is described. This represents a great improvement over the usual success rate of 70 to 80 per cent.

Keywords

Catheter Central Venous Catheter Central Venous Pressure Internal Jugular Vein High Success Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Nos recherches ont tenté ďaméliorer le coefficient de succès dans la mise en place de cathéters à pression veineuse centrale en utilisant les veines du bras comme point ďentrée sans avoir à recourir à ľélectrocardiogramme ou à ľamplificateur de brillance. On a trouvé qu’un soluté intraveineux attaché à un cathéter de Sorensen mis en route au cours de la manœuvre ďintroduction ne donnait un coefficient de succès que de 48 pour cent. Ce coefficient a été à son meilleur (98 pour cent) lorsqu’on emploie la veine basilique comme point ďentrée, que ľon positionne le malade en position assise ou semiassise et qu’un cathéter de Bardic # 16 est utilisé en prenant soin de retirer de six pouces le guide métallique poropre à ce cathéter lorsqu’on parvient à cette portion de la veine sous-clavière située entre les points ďarrivée de la céphalique et de la jugulaire interne. De cette façon, la souplesse du cathéter et ľeffet de gravité dû à la position du malade entraînent presqu’à coup sûr le cathéter dans la direction du courant sanguin c’est-à-dire vers la veine cave supérieure. Ce taux de succès est nettement amélioré par rapport à ce qu’on publie généralement (70 à 80 pour cent).

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Copyright information

© Canadian Anesthesiologists 1979

Authors and Affiliations

  • B. Berly Bridges
    • 1
  • Edward Carden
    • 1
  • Frank A. Takacs
    • 2
  1. 1.UCLA School of Medicine; Staff Anesthesiologist, Centinela Hospital Medical CenterLos Angeles, California
  2. 2.Department of AnesthesiologyUCLA School of MedicineLos Angeles, California

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