Biomedical subjects
Publications and source records attributed to R H Dailey.
Late perforations of vascular structures by central venous pressure (CVP) catheter tips are unusual, but potentially lethal, complications. The two principal syndromes caused by such perforations are described, and methods of prevention and treatment are outlined.
A practice guideline as a preformatted chart is presented. It is designed to be simple in concept and design, easy to use, parsimonious of data, easily scanned for quality assurance, and to provide clinical and cost-effectiveness prompts. It has supporting medical information for all recommendations that is literature- and experience-based. A patient aftercare instruction sheet is appended. An abbreviated "pocket practice guideline" is also provided. This format is clearly appropriate only for simple, not complex, clinical encounters.