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| Title | An Improved Puncture-Insertion Kit for a Swan-Ganz Catheter |
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| Subtitle | |
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| Authors | Toshiyasu Suzuki, Yoshio Kinefuchi, Masahiro Kanazawa, Haruo Fukuyama, Tetsuo Takaya, Mamoru Takiguchi, Michio Yamamoto |
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| Authors(kana) | |
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| Organization | Department of Anesthesiology, Tokai University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 17 |
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| Number | 4 |
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| Page | 543-546 |
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| Year/Month | 1996/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | 「ABSTRACT」To facilitate easy and safe insertion of a Swan-Ganz catheter, we developed a new pilot/introducer needle and dilator-sheath-introducer kit. We made a Y-shaped side port for a guide wire insertion in the hub of a 22-gauge metal needle. We then inserted a 7cm long dilator-sheath-introducer over the guide wire and inserted a Swan-Ganz catheter though the introducer in the usual way. This dilator-sheath-introducer has a fine tip and the shape of its assembly tapers down gently from the introducer to the guide wire. A Swan-Ganz catheter was inserted though the introducer in the usual way. When this kit was used in 50 cases, we had a success rate of 92% with no serious complications. The success rate and the time taken to insert the introducer did not differ between a staff anesthesiologist and firstyear trainees. This kit was also useful to help preserve venous access in patients suffering from severe hemorrhage shock. The internal jugular vein is a reliable site for Swan-Ganz catheter insertion. Various techniques for internal jugular vein puncture have been reported with high success rates and rare complication1〜4). But for unskilled physicians, insertion of a Swan-Ganz catheter or a central venous catheter is not an easy technique. Insertion of a Swan-Ganz catheter is an especially invasive procedure for the patient. The most common complications are hematoma, arterial puncture, and pneumothorax which lend to occur when using a larger needle. Our newly designed pilot/introducer needle and dilator-sheath-introducer kit facilitate easy and safe insertion of a Swan-Ganz catheter. |
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| Practice | Basic medicine |
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