Evaluation of the Efficacy of a Novel Dermatotomy Device for Central Venous Cannulation.
J Cardiothorac Vasc Anesth
; 38(9): 1951-1956, 2024 Sep.
Article
en En
| MEDLINE
| ID: mdl-38908939
ABSTRACT
OBJECTIVE:
To test the effectiveness of a novel wire-guided scalpel (Guideblade) to create a precise dermatotomy incision for central venous catheter (CVC) insertion.DESIGN:
Prospective, nonrandomized interventional study.SETTING:
Stanford University, single-center teaching hospital.PARTICIPANTS:
Cardiac and vascular surgical patients (n = 100) with planned CVC insertion for operation.INTERVENTIONS:
A wire-guided scalpel was used during CVC insertion.RESULTS:
A total of 188 CVCs were performed successfully with a wire-guided scalpel without the need for additional equipment in 100 patients, and 94% of CVCs were accomplished with only a single dermatotomy attempt. "No bleeding" or "minimal bleeding" at the insertion site was observed in 90% of patients 30 minutes after insertion and 80.7% at the conclusion of surgery.CONCLUSION:
The wire-guided scalpel was effective in performing dermatotomy for CVC with a 100% success rate and a very high first-attempt rate. The wire-guided scalpel may decrease bleeding at the CVC insertion site.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cateterismo Venoso Central
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Cardiothorac Vasc Anesth
Asunto de la revista:
ANESTESIOLOGIA
/
CARDIOLOGIA
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Estados Unidos