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The Caval Catheter (Paperback)
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The Caval Catheter (Paperback)
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The application of the caval catheter in emergency medicine and
intensive care has today become routine. Generally, even in severe
shock this route of access to the cardiovascular system is
available in order to apply life saving volume substitution. It
also permits longterm infusions in modern intensive care,
particularly continuous administration of high-osmolarity solutions
in par enteral nutrition. In both fields it represents one of the
most important diagnostic parameters of circulatory disorders,
enabl ing the registration of central venous pressure. Its
undeniable advantages are counterbalanced by the dangers inherent
in all invasive methods. Since sufficient experience and precise
sta tistics are now at our disposal, the time has come for a
provisional survey. While a few years ago it was considered
mandatory to propagate the central venous access in order to
advance new therapeutic and diagnostic methods, it is now necessary
to recon sider and reformulate indications for its use. In this
task it is essential to weigh the expected advantages against the
possible complications in each and every case of catheter
application. Cri tical scrutiny must include evaluation of
techniques, approaches, and finally catheter materials; this paper
presents the results of such a survey. The physician is hereby
given the opportunity of being completely informed of evaluating
the validity of his standard procedures. VIm, April 1977 C. BURRI
F. W. AHNEFELD Table of Contents I. Introduction. . . . . . . . . 1
II. Indications for Caval Catheter 3 A. Caval Catheter in Emergency
Situations 3 B."
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