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We reviewed our experience with the percutaneous insertion of 459 silicone central venous catheters from 1979 to 1984. Special attention was given to the complication of malposition of these catheters. From 1981-1984, 116 consecutive percutaneous silicone central venous catheters (CVC) were inserted using the peel away sheath introducer. There were no(More)
The results of 221 Stamm gastrostomies were analyzed in order to compare this technique to the recently reported percutaneous endoscopic technique (PEG). Cited advantages of the PEG technique, including avoidance of general anesthesia, shorter procedure time, safety, bedside convenience and cost savings, are addressed. Several disadvantages and possible(More)
A case of an 18-year-old woman with acute lymphoblastic leukemia who developed L-asparaginase-associated stroke and subclavian vein thrombosis is presented. The latter was also associated with a Hickman central venous catheter. Thrombotic complications occurred when plasma levels of plasminogen and antithrombin III were still markedly reduced as a result of(More)
Malnutrition is common in hospitalized patients, but current measures of nutritional status are limited. Because levels of somatomedins are regulated by nutrition, the utility of somatomedin-C measurement in nutritional assessment was studied. Thirty-seven malnourished patients had measurement of somatomedin-C and conventional nutritional indexes. In 28(More)
Among the accepted precepts of medical and surgical care that have stood the test of time are Primum non nocere and the mentor’s admonition that, ‘‘If you can’t find a structure you are trying to identify and preserve, you might have already cut it!’’ A more eloquent restatement of the mentor’s admonition would be: ‘‘The certain preservation of an anatomic(More)
Background: The objective of this study was to determine the utility of balloon-assisted endoscopic retroperitoneal gasless (BERG) exposure for anterior lumbar interbody fusion (ALIF) with a variety of interbody fusion devices. Methods: Between January 1998 and February 2002, 46 individuals underwent (ALIF) with a variety of devices, including cylindrical(More)
The aim was to determine the effect of feeding and oral habits, toothbrushing, socioeconomic status and allergic rhinitis on the development of dental caries in primary dentition. In a cross-sectional study, data were obtained by means of a structured questionnaire on 1,160 children, 4-5 years old (mean = 4.5 +/- 0.5) and born in 1999, 2000 or 2001. The(More)
Studies of care of patients with central venous catheters report a 3-7% incidence of catheter-induced sepsis when sterile gauze and tape are used as an occlusive dressing. The technique requires that the dressing be changed three times each week for catheterization site inspection. From June 1979 to September 1980, a noncomparative evaluation of a(More)
Many patients benefit from the use of tunneled Dacron-cuffed central venous catheters. Operative insertion with the aid of fluoroscopy is required for the proper placement of these devices. Perioperative unintentional removal of the catheter is a reported complication. The outward migration of the device occurs before adequate tissue ingrowth into the(More)