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Catheter Insertion

Catheter Insertion Abstract To the Editor.—The well-illustrated technique describing the percutaneous insertion of a permanent hyperalimentation catheter (Archives 1982; 117:976-977) should be appreciated by all surgeons involved in the placement of such catheters. One additional modification of the technique, which I have used, involved the tunnel through which the Hickman catheter is brought. Use of a sterile metal knitting needle to connect the two incisions and create a tunnel has a few advantages: (1) less discomfort is involved compared with the use of a long clamp; (2) smaller incisions are needed to pass the knitting needle through compared with the clamp; and (3) there is less chance of bleeding because the tunnel that is created is smaller. As I and my co-workers have reported separately,1 the percutaneous subclavian technique has a multitude of advantages and, therefore, is recommended highly as the preferred route for Hickman catheter insertion. References 1. Rubenstein RB, Michalak J, Stegman R, et al: Hickman catheter insertion via the percutaneous subclavian route . Nutr Support Serv 1982;2:9-10. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Catheter Insertion

Abstract

Abstract To the Editor.—The well-illustrated technique describing the percutaneous insertion of a permanent hyperalimentation catheter (Archives 1982; 117:976-977) should be appreciated by all surgeons involved in the placement of such catheters. One additional modification of the technique, which I have used, involved the tunnel through which the Hickman catheter is brought. Use of a sterile metal knitting needle to connect the two incisions and create a tunnel has a few advantages:...
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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1983.01390010095027
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—The well-illustrated technique describing the percutaneous insertion of a permanent hyperalimentation catheter (Archives 1982; 117:976-977) should be appreciated by all surgeons involved in the placement of such catheters. One additional modification of the technique, which I have used, involved the tunnel through which the Hickman catheter is brought. Use of a sterile metal knitting needle to connect the two incisions and create a tunnel has a few advantages: (1) less discomfort is involved compared with the use of a long clamp; (2) smaller incisions are needed to pass the knitting needle through compared with the clamp; and (3) there is less chance of bleeding because the tunnel that is created is smaller. As I and my co-workers have reported separately,1 the percutaneous subclavian technique has a multitude of advantages and, therefore, is recommended highly as the preferred route for Hickman catheter insertion. References 1. Rubenstein RB, Michalak J, Stegman R, et al: Hickman catheter insertion via the percutaneous subclavian route . Nutr Support Serv 1982;2:9-10.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1983

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