Method Between January 2010 and January 2015, emergent surgical aortic repair was performed in 158 consecutive patient with acute type A aortic dissection. In all patients open distal anastomosis was performed using deep hypothermic circulatory arrest. Patients were divided into two groups: transapical cannulation group and other cannulation sites group (including femoral and axillary artery ca...

We describe sole direct innominate cannulation for arterial return for establishing both cardiopulmonary bypass and selective antegrade cerebral perfusion in the repair of acute type A dissection and compare it with femoral, axillary, direct aortic and apical cannulations. We believe innominate cannulation has all the advantages of right axillary cannulation and none of its disadvantages. It ca...

BACKGROUND A modified cannulation strategy to innominate artery was introduced which differs from traditional cannulation method used in aortic surgeries. CASE PRESENTATION Four patients suffering from aortic dissections with or without other cardiac diseasees underwent surgical treatment by using the modified canulation technique. All patients had an uneventful perioperative period and disch...

BACKGROUND Established noninvasive pharmacologic means of alleviating pain and anxiety in children undergoing intravenous cannulation are time-consuming, and thus impractical for routine use in the emergency department. Vapocoolant sprays provide transient skin anesthesia within seconds of application. We compared the effect of a new vapocoolant spray to placebo on pain due to intravenous cannu...

Background: Intravenous cannulation is one of the most common painful procedures that is being used as a routine part of primary care or during diagnostic workups. This procedure is an invasion to physical and psychological space of children and it’s pain must be managed. This clinical trial has been conducted to determine and compare the effects of two music and Hay – Ho Rhythmic Breathing tec...

BACKGROUND We investigated whether the axillary artery or ascending aorta cannulation combined with the arch first method decreases the risk of stroke during total arch replacement. PATIENTS AND METHODS From January 2002 to January 2006, 35 total arch replacements were performed with the arch first method and central arterial cannulation. The mean age was 66+/-10 years. The cannulation sites ...

Background: Socioeconomic, technological, and political developments have led to significant changes in the nursing profession in Israel. One major shift is the expansion of nurse authority. Aims: To explore the attitudes of physicians and nurses in Israel towards the expansion of nurses' authority to perform Peripheral Intra Venous cannulation. In addition, the study evaluated the influence of...

BACKGROUND Ascending aortic cannulation for an antegrade central perfusion during surgery for type A aortic dissection is simple and can be performed within median sternotomy. This cannulation is performed routinely without problems in our hospital. Using our experience, the skills and pitfalls were clarified to make this challenging procedure successful. METHODS 29 cases of ascending aortic ...

Study objective—To determine whether the use of subcutaneous local anaesthetic (lignocaine) is associated with a reduction in cannulation pain in the emergency department setting. Methods—Patients over 18 with a Glasgow Coma Score (GCS) of 15 and conversational English were allocated into one of three groups: Group 1 were cannulated after routine skin preparation; Group 2 received 1% lignocaine...