Open catheterization of the peripheral vein. Relevance and benefits
- Authors: Gavshchuk M.V.1, Bagaturiya G.O.1, Lisovskii O.V.1, Kosulin A.V.1, Chepelev A.S.1, Melnikova E.A.1
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Affiliations:
- Saint Petersburg State Pediatric Medical University
- Issue: Vol 14, No 6 (2023)
- Pages: 45-50
- Section: Original studies
- URL: https://journals.rcsi.science/pediatr/article/view/256908
- DOI: https://doi.org/10.17816/PED626107
- ID: 256908
Cite item
Abstract
BACKGROUND: There are situations where the walls of peripheral veins collapse due to hypovolemia and hypotension, and central venous catheterization or intraosseous access is undesirable due to significant hypocoagulation and high risk of iatrogenic complications. In such cases, venesection on the upper or lower limb can be the preferred procedure for ensuring venous access.
AIM: The aim of this study is to compare the possibilities of peripheral vascular access through venesection with open catheterization using modern catheters in an experiment on laboratory animals.
MATERIALS AND METHODS: Under combined anesthesia, venesection of the superficial jugular vein was performed on 6 rabbits. During the surgery and in the early postoperative period, intravenous infusions were administered through a catheter. The catheter was removed 1 day after the surgery. In the postoperative period, the rabbits received physiological nutrition, care, and dressings until the sutures were removed. On the 7th day after the surgery, an ultrasound examination of the surgical area was conducted to assess the patency of the vein. The rabbits were euthanized on the 14th, 28th, and 37th day after the surgery for subsequent pathological and anatomical examination.
RESULTS: All the installed catheters for intravenous infusions functioned until removal at 1 day post-intervention. Postoperative wounds healed by primary intention, and sutures were removed on the 7th day after surgery. According to the results of ultrasonographic examination and data from pathological-anatomical investigation, no complications were detected in the venesection area in all cases, and macroscopically, the jugular veins of all operated rabbits were patent.
CONCLUSIONS: Open catheterization of the peripheral vein allows access for infusions and preserves the vessel for further use. For a correct understanding of the vascular access method with vein crossing and ligation, it is advisable to avoid terminological distortion of meaning and use the term “catheterization by venesection”. Open catheterization is an alternative to traditional venesection catheterization and may be recommended if percutaneous venous catheterization and intraosseous access are not possible.
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##article.viewOnOriginalSite##About the authors
Maksim V. Gavshchuk
Saint Petersburg State Pediatric Medical University
Author for correspondence.
Email: gavshuk@mail.ru
ORCID iD: 0000-0002-4521-6361
SPIN-code: 2703-3589
MD, PhD, Associate Professor, Department of General medical practice
Russian Federation, Saint PetersburgGeorgii O. Bagaturiya
Saint Petersburg State Pediatric Medical University
Email: geobag@mail.ru
ORCID iD: 0000-0001-5311-1802
SPIN-code: 4931-8370
MD, PhD, Dr. Sci. (Medicine), Professor, Head, Department of Operative surgery and topographic anatomy
Russian Federation, Saint PetersburgOleg V. Lisovskii
Saint Petersburg State Pediatric Medical University
Email: oleg.lisowsky@yandex.ru
ORCID iD: 0000-0002-1749-169X
SPIN-code: 7510-5554
MD, PhD, Associate Professor, Head, Department of General medical practice
Russian Federation, Saint PetersburgArtem V. Kosulin
Saint Petersburg State Pediatric Medical University
Email: hackenlad@mail.ru
ORCID iD: 0000-0002-9505-222X
SPIN-code: 7609-0708
MD, PhD, Assistant Professor, Department of Operative surgery and topographic anatomy
Russian Federation, Saint PetersburgAlexander S. Chepelev
Saint Petersburg State Pediatric Medical University
Email: spmmed@yandex.ru
ORCID iD: 0000-0002-4127-3457
SPIN-code: 1916-7417
Assistant Professor, Department of Pathological anatomy at the rate of forensic medicine
Russian Federation, Saint PetersburgEkaterina A. Melnikova
Saint Petersburg State Pediatric Medical University
Email: kea13doc@gmail.com
ORCID iD: 0009-0004-2443-0344
SPIN-code: 5508-2109
Senior Laboratory Assistant, Professor F.I. Walker Department of Operative Surgery and Topographic Anatomy
Russian Federation, Saint PetersburgReferences
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