The axillary artery may be an alternative cannulation site for patients with diffused atherosclerosis, aortic dissection, and aneurysm. There are different techniques for axillary artery cannulation that can be performed easily with a transcutaneous approach. Small incision necessity, less dissection, and good wound healing are other advantages of this technique.

BACKGROUND Aortic arch reconstruction in neonates is commonly performed using deep hypothermic circulatory arrest. However, concerns have arisen regarding potential adverse neurologic outcomes from this complex procedure, raising questions about the best arterial cannulation approach for cerebral perfusion and effective systemic hypothermia. In this study, we use computational fluid dynamics to...

BACKGROUND Although many reports have detailed the advantages and disadvantages between femoral and subclavian arterial cannulations for acute aortic dissection type A (AADA), the confounding factors caused by disease severity and surgical procedures could not be completely eliminated. We compared femoral and subclavian artery cannulation and report the results for reconstruction of only the as...

Background. Transpancreatic precut sphincterotomy (TPS) is an option for difficult common bile duct (CBD) access, and the reports are few, with immediate success rate varying from 60 to 96%. The description of relation between the size of TPS and the immediate success rate of CBD cannulation was not found in the literature. The Aim of the Study. To evaluate the relation of large TPS to immediat...

HEADPLAY personal cinema system (PCS) is a portable visual headset/visor through which movie clips may be viewed. We studied the use of HEADPLAY PCS as a distraction tool in facilitating intravenous cannulation in children undergoing anaesthesia. 60 children were enrolled into the study and randomized into 2 groups. EMLA local anaesthetic cream was used to reduce the pain associated with intrav...

BACKGROUND Current protocols recommend the use of a blunt needle to access the arteriovenous fistula via a buttonhole. This study aims to demonstrate whether a sharp needle can be used at the same buttonhole site without causing complications. GOAL To measure and compare fistula cannulation failures between the use of blunt and sharp needles. PLAN: Open-crossover randomised controlled trial. ...

Right Internal Jugular Vein (RIJV) catheterization may be collapsed by the advancement of the needle and the pressure from ultrasonic probe, and the sutures are needed to fix the catheters after RIJV catheterization. This study aimed to develop a Suture-Traction Method (STM) to facilitate RIJV catheterization. 70 anesthetized patients underwent RIJV catheterization in Left-Lateral Position (LLP...

In a recent issue, there was a Great Debate article about cannulation techniques in patients with type A dissection complicated by cerebral malperfusion [1]. Paul P. Urbanski argues for cannulation of the common carotid artery by using a separate incision along the medial margin of the sternocleidomastoid muscle. Jean Bachet gives arguments for the right axillary artery as cannulation site by a...