PubMed · 5117771
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H Baden. 1971-11-11. [Central vein catheterization].. https://pubmed.ncbi.nlm.nih.gov/5117771/
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Since the first publication on Percutaneous Mitral Commissurotomy (PMC) in 1984 there has been a considerable evolution in the technique and a large number of patients have now been treated. PMC is an effective treatment in a wide range of patients with mitral stenosis. Its risk is low in a high volume center. It provides good mid term results. Age, previous surgery, anatomy and procedural factors are predictors of immediate results. Anatomy, NYHA class, degree of cardiomegaly, and the quality of initial results are predictors of the mid-term results. Consequently the selection of the candidates is multifactorial mainly based on clinical and anatomic parameters. Finally PMC and surgery must not be considered as rivals but as complimentary techniques in the treatment of mitral stenosis.
This article describes how one trust developed a training programme specifically for nurses to learn how to perform venepuncture and cannulation. Problems encountered and the lessons learnt from the programme are also discussed.
We review the outcome of guided, percutaneous, catheter drainage of pleural collections in 102 patients over a 2-year period. In 87% diagnostic aspiration of small or loculated collections was performed. Drainage of malignant and nonmalignant effusions in high-risk patients, or after failure of drainage without imaging guidance, was performed in 13%. All aspirations were successful and the only complication was a small pneumothorax in a single patient. If the collection was a small pneumothorax in a single patient. If the collections were large and easy to aspirate, we marked the best location for aspiration on the skin and sent the patient back to the ward for aspiration. We conclude that the use of sonography increases the proportion of successful drainage of small pleural collections and results in few complications.