Cardiothoracic & vascular anesthesia

Evaluation of the Efficacy of a Novel Dermatotomy Device for Central Venous Cannulation

J Cardiothorac Vasc AnesthPublished Prospective nonrandomised interventional study

Authors' conclusion

The wire-guided scalpel was effective in performing dermatotomy for CVC with a 100% success rate and a very high first-attempt rate.

Study context

Population
Cardiac and vascular surgical patients with planned central venous catheter (CVC) insertion for operation
Participants
100 participants · 188 CVCs
Outcome
Effectiveness of wire-guided scalpel in creating a precise dermatotomy incision for CVC insertion
Methodological detailssingle-centre, teaching hospital, Stanford University
  • Single-centre
  • Teaching hospital
  • Stanford University

Main finding

As reported in the abstract

Successful CVC with wire-guided scalpel without additional equipment; single dermatotomy attempt
GroupValueCVCs with single dermatotomy attempt
Wire-guided scalpel188 events94%

Wire-guided scalpel

Value188 events
CVCs with single dermatotomy attempt94%

Observational data: associations, not effects.

Further findings

OutcomeValues
No or minimal bleeding at insertion site · 30 minutes after insertion; conclusion of surgeryWire-guided scalpel 30 min after insertion 90% · conclusion of surgery 80.7%

Original publication

Evaluation of the Efficacy of a Novel Dermatotomy Device for Central Venous Cannulation. J Cardiothorac Vasc Anesth. Published 6 May 2024. doi:10.1053/j.jvca.2024.04.003

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