Chronic venous access: bedside placement technique and complications.
Long-term tunneled venous access catheters have evolved into safe and useful tools. More than 80% of these are implanted in patients in operating rooms with fluoroscopic and anesthesia support. This article describes a technique for safely placing these catheters at the patient's bedside and focuses on how to identify, prevent, and manage common complications associated with this procedure. This article also summarizes 8 years of the authors' personal experience with bedside placement and describes a hospital quality assurance study that evaluated the efficacy of bedside placement. The role of appropriately trained personnel is highlighted. The possibility of cost savings, totaling millions of dollars, is raised.
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PM
Goldfarb
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Coldwell
D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods* / Q000451:nursing; D002408:Catheters, Indwelling / Q000009:adverse effects; D006801:Humans; D008134:Long-Term Care; D010362:Patients' Rooms; D011785:Quality Assurance, Health Care; D014683:Vena Cava, Superior