title: A modified wire-guided technique for venous cutdown access.
abstract: The use of a guidewire to facilitate the placement of an IV cannula through a cutdown is described. This technique was taught to 24 novice operators (medical students and first-year residents). In a randomized, prospective, crossover study, their performance of this technique in an animal model was compared with the use of the classic cutdown technique. The modified technique was performed 22% (two minutes, 13 seconds) more rapidly, on average, than the classic technique (P less than .05). Other potential advantages of this technique are discussed.
authors.affiliation: Emergency Physicians Professional Association, Fairview Southdale Hospital, Minneapolis, Minnesota.
authors.forename: L W
authors.initials: LW
authors.lastname: Shockley
authors.forename: D J
authors.initials: DJ
authors.lastname: Butzier
mesh_terms: D000818:Animals; D001815:Bloodletting / Q000295:instrumentation / Q000379:methods*; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000379:methods; D004285:Dogs; D004635:Emergency Medicine / Q000193:education; D005069:Evaluation Studies as Topic; D008910:Minnesota; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D013663:Teaching / Q000379:methods