Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Jan 1995
[Central venous catheter. Better routine for placing of catheters].
Malposition of a central venous catheter is a major cause of serious complications such as perforation and cardiac tamponade. To prevent such complications it is necessary to confirm that the catheter tip is in the correct position. ⋯ With a minimum of extra equipment and training, we have tested the electrocardiography technique applied to our standard central venous catheter equipment (Secalon Seldy and Hydrocath). Our experience is that this technique makes catheter tip placement distal to the right atrium more easy to achieve.
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The "modern" hospice movement was established at the beginning of the 1960s in Great Britain. Philosophical issues and a holistic treatment model have been emphasized in order to meet the physical, emotional, social and psychological needs of dying patients. Less time has been devoted to research. ⋯ It is also important to increase the teaching about palliative medicine at medical school. The first unit of palliative has been established at the University Hospital, Trondheim. Similar clinics should be established at the other university hospitals in Norway.