Difficulties are rare and do not correlate with lifespan of catheter

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7012.1090b (Published 21 October 1995) Cite this as: BMJ 1995;311:1090
  1. Jacqueline Filshie,
  2. Philippa Wood,
  3. Ruth Griffin,
  4. Claire Nightingale,
  5. Ruth G P R Browne,
  6. D G Skewes
  1. Consultant Senior registrar Senior registrar Registrar Consultant Consultant Department of Anaesthetics, Royal Marsden Hospitals NHS Trust, Sutton, Surrey SM2 5PT

    EDITOR,--We strongly support Andy Adam's view that imaging guidance and experience are necessary for the placement of Hickman-type catheters.1 The first surgical insertions of Hickman catheters at the Royal Marsden Hospitals were described in 1979,2 but over the past decade the anaesthetists have developed a comprehensive percutaneous venous access service, and they currently insert over 1000 lines a year. Dedicated theatre lists of up to 10 patients are eminently suitable for consultants to teach the technique to trainee anaesthetists. …

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