[Learning curve and early complications of totally implantable venous access devices: is tutoring the solution for the problem?]. / La learning curve e le complicanze immediate dei sistemi totalmente impiantabili venosi: il tutoring come soluzione del problema?
G Chir
; 25(4): 146-8, 2004 Apr.
Article
en It
| MEDLINE
| ID: mdl-15283408
During the last years operators implanting totally implantable venous access devices (TIVADs), type of access, and kind of complications are changed. Aim of this work is to evaluate the incidence of early complications during the learning curve of residents in surgery or inexperienced surgeons, besides considering the tutoring to evaluate its rule to prevent early complications. TIVADs, implanted by residents in surgery or by inexperienced surgeons in the Department of Surgical Science Organ Transplantation and Advanced Technologies of University of Catania from January 1995 to October 2003, have been considered for the present study. Age and sex of the patients, indication, type of surgical access and early complications of the TIVADs have been considered. Early complications are those complications that occur within 30 day after the implant. Ninety-five TIVADs were implanted by surgical approach in 95 patients: 58 males (61%) and 37 females (39%), with a mean age of 55 years (range 31-79). Inexperienced surgeons performed 40 implants (42%) instead resident in surgery implanted 55 TIVADs (58%). The migration out of the vein of a catheter 20 days after the operation was the only complication recorded. TIVADs implant by cut-down technique represent the way to avoid early complications. The learning curve is short and the tutoring is limited at the first phase.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Procedimientos Quirúrgicos Vasculares
/
Cateterismo Venoso Central
/
Catéteres de Permanencia
/
Bombas de Infusión Implantables
/
Competencia Clínica
/
Aprendizaje
Límite:
Adult
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Aged
/
Female
/
Humans
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Male
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Middle aged
Idioma:
It
Revista:
G Chir
Año:
2004
Tipo del documento:
Article
Pais de publicación:
Italia