A modified wire-guided technique for venous cutdown access

✍ Scribed by Lee W. Shockley; Douglas J. Butzier

• Book ID: 104311077
• Publisher: Elsevier Science
• Year: 1990
• Tongue: English
• Weight: 323 KB
• Volume: 19
• Category: Article
• ISSN: 1097-6760
• DOI: 10.1016/s0196-0644(05)82344-3

✦ Synopsis

The use of a guidewire to facilitate the placement of an IV cannula through a cutdovcn is described. This technique was taught to 24 novice operators (medica] students and first-year residents). In a randomized, prospective, crossover study, their performance of this technique in an animal model was compared with the use of the classic cutdown technique. The modified technique was performed 22% (two minutes, 13 seconds) more rapidly, on average, than the classic technique (P < .05). Other potential advantages of this technique are discussed. /Shockley LW, Butzier D J: A modified wire-guided technique for venous cutdown access. Ann Emerg Med April 1990;19:393-395.]

Methods

The Department of Emergency Medicine at the Hennepin County Medical Center in Minneapolis, Minnesota, uses an animal laboratory to teach medical students and residents the techniques of surgical airway establishment, thoracostomy tube placement, diagnostic peritoneal lavage, venous cutdown placement, pericardiocentesis, and resuscitative thoracotomy. This study was conducted during those sessions. All of the procedures performed in the skills laboratory have the approval of the Hennepin County