title: Experience of anesthesiologists with percutaneous nonangiographic venous access.
abstract: OBJECTIVE
  To compare percutaneous nonangiographic insertion of a venous access device with a standard surgical cutdown insertion technique.
  
  
  METHODS
  Prospective, controlled, randomized study.
  
  
  METHODS
  Operating room and anesthesia induction room of a university hospital.
  
  
  METHODS
  100 consecutive oncology patients scheduled for intravenous chemotherapy.
  
  
  METHODS
  Patients were randomized to two groups: (1) The percutaneous group received implantation through the internal jugular vein by experienced anesthesiologists, whereas (2) the surgical group received venous cutdown insertion through the cephalic or subclavian vein by surgeons (n = 50 for each group).
  
  
  METHODS
  Duration of procedure, long-term device function, complications such as hematoma formation, infection, hemothorax, pneumothorax, and patients' satisfaction with the placement procedure at two months of follow-up were all measured and recorded.
  
  
  RESULTS
  The percutaneous technique was found to have several advantages, including reduced time for insertion and greater patient satisfaction with procedure. The percutaneously implanted devices also had fewer insertion-associated complications.
  
  
  CONCLUSIONS
  The simplified, percutaneous, nonangiographic technique is as effective as the traditional venous cutdown technique and can be safely done by surgeons as well as by experienced physicians who are not surgeons.
authors: Department of Anesthesiology, Taipei-Veterans General Hospital and National Yang-Ming University, Taipei 112, Taiwan.
authors: Pin-Tarng
authors: PT
authors: Chen
authors: Chun-Sung
authors: CS
authors: Sung
authors: Chao-Chun
authors: CC
authors: Wang
authors: Kwok-Hon
authors: KH
authors: Chan
authors: Wen-Kuei
authors: WK
authors: Chang
authors: Wen-Hu
authors: WH
authors: Hsu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000776:Anesthesiology / Q000706:statistics & numerical data*; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000706:statistics & numerical data; D002983:Clinical Competence / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008488:Medical Illustration; D008875:Middle Aged; D017060:Patient Satisfaction; D010820:Physicians / Q000592:standards / Q000706:statistics & numerical data*; D011183:Postoperative Complications; D011446:Prospective Studies; D013350:Subclavian Vein; D013997:Time Factors; D016896:Treatment Outcome; D016748:Venous Cutdown / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data