During the last few years I have had several opportunities of testing the value of cystoscopy in both sexes, and of cathe-terization of the ureters in the female. The manipulations are often somewhat delicate and require considerable patience; but once the preliminary difficulties are surmounted, diagnoses may be arrived at which would be otherwise impossible. A reference to the table at the en...

P a t i e n t s 293 patients who were receiving their first central venous catheterization during the index ICU stay. Exclusion criteria included a moribund state, emergency catheterization, coagulopathy, severe hypoxemia, skin lesions or recent surgery at either site, and phlebitis. Catheterization was attempted in 289 patients (mean age 61 y, 66% men). 99%, 92%, and 76% of patients were evalu...

BACKGROUND Liver failure patients have traditionally been empirically transfused prior to invasive procedures. Blood transfusion is associated with immunologic and nonimmunologic reactions, increased risk of adverse outcomes and high costs. Scientific evidence supporting empirical transfusion is lacking, and the best approach for blood transfusion prior to invasive procedures in cirrhotic patie...

Central venous catheterization (CVC) is frequently performed in critical care medicine. However, there a lack of standardized CVC training. The Airway & Catheter Cannulation Education–from Starters to Specialists (ACCESS) course was developed for systematic airway and management. A stepwise Z approach safe successful the focus current review, while providing guideline ACCESS course. In addi...