[Clinical experiences with central venous multi-lumen catheters]. 1990

A Albert, and M Wendt, and B Reiffer
Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, WWU Münster.

We retrospectively studied 617 insertions of multilumen-catheters in 570 cardiosurgical patients. Number of catheters, insertion technique, indwelling period, catheter insertion site, specific positions and complications of insertion were evaluated by anesthetic chart and chest x-ray. In most cases the catheters were placed by a percutaneous insertion lock in the right or left v. jugularis interna as main site. Early complications mainly occurred because of incorrect placements. Post-operative radiological control by chest x-ray nearly showed 67% malpositions mainly resulting from the catheter placed not sufficiently far within the insertion lock. Though the catheter initially was placed correctly, it slided back to the insertion lock under mechanical influence on the site of fixation. In only 3 of 617 cases we found a too far inserted catheter. In these cases insertion was made by a Seldinger guidewire after direct venipuncture.

UI MeSH Term Description Entries
D007601 Jugular Veins Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins. Jugular Vein,Vein, Jugular,Veins, Jugular
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002405 Catheterization, Central Venous Placement of an intravenous CATHETER in the subclavian, jugular, or other central vein. Central Venous Catheterization,Venous Catheterization, Central,Catheterization, Central,Central Catheterization,Catheterizations, Central,Catheterizations, Central Venous,Central Catheterizations,Central Venous Catheterizations,Venous Catheterizations, Central
D002408 Catheters, Indwelling Catheters designed to be left within an organ or passage for an extended period of time. Implantable Catheters,In-Dwelling Catheters,Catheter, In-Dwelling,Catheter, Indwelling,Catheters, In-Dwelling,In Dwelling Catheters,In-Dwelling Catheter,Indwelling Catheter,Indwelling Catheters
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D005260 Female Females
D006331 Heart Diseases Pathological conditions involving the HEART including its structural and functional abnormalities. Cardiac Disorders,Heart Disorders,Cardiac Diseases,Cardiac Disease,Cardiac Disorder,Heart Disease,Heart Disorder
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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