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Study Selection: Studies were included if: (1) study design was a controlled trial, (2) patients required placement of a CVC, (3) the interventions were real-time ultrasound versus standard landmark-guided line placement, and (4) outcomes included at least 1 of failure to place catheter, success of first attempt, number of attempts, time to catheter placement, or complication rate.
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Complications were also associated with failed attempts: 52 of the 721 patients (7.2percentt) in whom catheterization was successful had complications, as compared with 28 of the 100 patients (28percentt) in whom physicians were unable to place catheters.
Second, human error, such as an improperly placed catheter, can prevent the rapid delivery of the drug cocktail.
The catheter is also located too deep in the left ventricle compared to a correctly placed catheter.
The mAb was administered by either a bolus injection or CED via a stereotactically placed catheter; between 48 and 72 hours later the mAb was again administered using the other technique.
Blood samples were collected sequentially for 10 hrs from the carotid artery using the previously placed catheter into tubes containing heparin.
Blood samples (0.5 ml) were collected at 0, 15, 30, 60, 120, 240, 360, 510, and 600 min from the carotid artery using the previously placed catheter.
The method used for 10 eligible patients consisted of draining the pericardial effusion and infusing 300 mg/body of carboplatin in 50 ml of saline through an in-place catheter into the pericardial space and clamping the catheter for 40 min. Nine of the 10 patients showed satisfactory results, and 8 experienced complete regression of the effusion.
Gadallah et al. [ 12] showed that a peritoneoscopically placed catheter (using Y-TEC) had fewer complications and higher survival rates compared with those placed by an open technique.
15 Briefly, a retrograde placed catheter in a hand vein heated to above 40°C was used for collection of arterialized blood samples.
44– 46 Symptoms of chest wall infiltration from a centrally placed catheter may have a delayed onset and may present as shoulder pain.
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