Avoiding unintentional arterial cannulation

10 Avoiding Unintentional Inconsistency

Consistency sounds like something to strive for. After all, who would strive for inconsistency? Consistency is widely praised in guidelines and principles, but with some scrutiny, it becomes clear that consistency is hard to define and measure. Oellogg discusses several dimensions of consistency (including platform/devices) [kellT7, kellTU] and both Oellogg and Grudin [grudTU] note that a desig...

Arterial cannulation: a critical review.

Arterial catheterization for hemodynamic monitoring is used widely in clinical management. Complications of connulation have been recognized since introduction of the technique. This review examines radial, brachial, axillary, and femoral cannulation sites. Waveform distortion, adjacent structure injury, and the incidence of thrombus are described. Computerized subject heading searches were exe...

Which cannulation (ascending aortic cannulation or peripheral arterial cannulation) is better for acute type A aortic dissection surgery?

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'Which cannulation (ascending aortic cannulation or peripheral arterial cannulation) is better for acute type A aortic dissection surgery?' Altogether 393 papers were found using the reported search, of which 14 represented the best evidence to answer the clinical question. The au...

Direct Axillary Arterial Cannulation Using Seldinger's Technique in Aortic Dissection

BACKGROUND The axillary artery is frequently used for cardiopulmonary bypass, especially in acute aortic dissection. We have cannulated the axillary artery using a side graft or by directly using Seldinger's technique. The purpose of this study was to assess the technical problems and complications of both cannulation techniques. MATERIALS AND METHODS From January 2003 to December 2009, 53 pa...

Clinical sequelae from arterial needle puncture, cannulation, and incision.