OBJECTIVE To evaluate the effect of real-time ultrasound guidance using a regular or Doppler ultrasound technique for placement of central venous catheters. DATA SOURCES We searched for published and unpublished research using MEDLINE, citation review of relevant primary and review articles, conference abstracts, personal files, and contact with expert informants. STUDY SELECTION From a poo...

OBJECT The purpose of this study was to evaluate the accuracy of ventriculostomy catheter placement on a head- and hand-tracked high-resolution and high-performance virtual reality and haptic technology workstation. METHODS Seventy-eight fellows and residents performed simulated ventriculostomy catheter placement on an ImmersiveTouch system. The virtual catheter was placed into a virtual pati...

OBJECTIVES Intraosseous access is a rapid and effective route of fluid and drug administration. Its use has been proven in emergency medicine, pediatrics, and the military. We aimed to assess its performance and utilization against landmark-guided central venous catheter placement during inpatient medical emergencies. DESIGN Prospective observational study. SETTING Eight hundred fifty-six-b...

OBJECT The objective of this study was to compare the accuracy of 3 methods of ventricular catheter placement during CSF shunt operations: the freehand technique using surface anatomy, ultrasonic guidance, and stereotactic neuronavigation. METHODS This retrospective cohort study included all patients from a single institution who underwent a ventricular CSF shunting procedure in which a new v...

Suprapubic catheter placement has associated complications such as bowel injury, bladder injury, or bleeding. This case describes the management of an elderly patient who had suprapubic catheter placement complicated by small bowel obstruction. The catheter had continued production of urine. Further patient treatment required abdominal exploration and bowel resection.

Epidural catheter (EC) migration is well documented entity in literature. However, most of these reports are consistent with introduction of Tuohy needle, either partially or completely, into intravascular, subdural and subarachnoid spaces prior to the placement of catheter. We report an intra-operative delayed migration of epidural catheter into subarachnoid space after apparently normal needl...

Central venous cannulation through femoral veins is known to be associated with various complications. Early complications include extravasation and collection of blood, fluid, and/or contrast material in the retroperitoneal spaces or peritoneal cavity, whereas late abdominal compartment syndrome (ACS).
 A 30-year-old patient was admitted emergency department brought into operating room a ...