• Massimo Cajozzo, Gerlando Cocchiara, Geo Greco, Roberto Vaglica, Tommaso Bartolotta, Lina Platia, and Giuseppe Modica.
• Department of Surgery, Division of General and Thoracic Surgery, University of Palermo, Palermo, Italy. msc1@virgilio.it
• J Surg Oncol. 2004 Dec 15;88(4):267-8.

Background And ObjectivesPerforming a central venous catheterization (CVC) on older patients for long-term central intravenous therapy could be a very important procedure. It could be associated with a high incidence of related complications, especially on over 65-year-old, high risk, selected patients.MethodsThe authors analyzed the results of 72 central venous CVC of internal jugular vein performed on over 65-year-old patients with ultrasound (US) guide from January 1998 to April 2003.ResultsThe average performing time was 4 min, with 98.7% of success, 0% of major complications, and 4.1% of minor complications (one mild vagal hypotension and two catheter dislocation).ConclusionsThe US guided technique is a safer procedure especially in older patients; it affords an easier and more rapid cannulation of a central vein, drastically reducing major and minor complications.

13 keywords...

hide…