Jpen Parenter Enter
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Jpen Parenter Enter · May 1989
A modified method of vascular access system implantation using the subclavian vein.
A new method of implanting vascular access systems using the Arrow Percutaneous Sheath Introducer Kit is described. The surgeon who frequently inserts these systems may find this technique to be a useful alternative in those patients in whom cutdowns were unsuccessful or in whom the percutaneous technique with a peel-away sheath is found to be difficult.
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A newly designed nasal bridle and rationale for its clinical use are described. Previous nasal bridles have been shown to reduce the 40 to 60% incidence of dislodgement of nasoenteral feeding tubes. ⋯ The newly designed nasal bridle described herein has the advantages of easy and rapid placement. Use of this bridle can promote safer and more effective enteral feeding while avoiding the complications and cost of parenteral nutritional and gastrostomies.