TY - JOUR
AU1 - Ross, D.G.
AB -  The technique described by Drs Okoro and Mahon (Anaesthesia 1994; Jo: 94-5) is indeed occasionally useful, but they failed to emphasise a practical point. They described the facilitation of large bore venous cannulation by distending the previously empty superficial venous system of the arm by administering fluid through a smaller cannula. Under these circumstances, entry of the cannula into the vein is marked by the passage, not of blood, but of colourless, clear saline into the hub of the cannula. This can easily be missed by the unprepared, causing unnecessary difficulty. Royal Victoria Injirmary, Newcastle-upon-Tyne N E l 4LP W.G.M. BREMNER A complication with a split sheath during a Hickman line insertion We would like to report a problem that occurred during the percutaneous insertion of a double-lumen Hickman catheter into the right subclavian vein in a patient under sedation. The patient was a 39-year-old female weighing 75 kg requiring long-term chemotherapy for a recently diagnosed lymphoma. Her significant pre-operative details included neutropenia and a platelet count prior to a 10 unit platelet transfusion of 35 000 cu.mm. The technique used to introduce these catheters has been described [l] and involves the use of a breakable split sheath 
TI - Arterial cannulation
JF - Anaesthesia
DO - 10.1111/j.1365-2044.1995.tb06086.x
DA - 1995-06-01
UR - https://www.deepdyve.com/lp/wiley/arterial-cannulation-jebOxrunTu
SP - 576
VL - 50
IS - 6
DP - DeepDyve
ER -