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One-hand guidewire introducer kit for ultrasound-guided central venous catheterization: a proof-of-concept study.

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November 2024

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Despite ultrasound guidance for central venous catheterization (CVC), the first-attempt success rate has remained around 52.6-62.1%.

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Purpose: To evaluate the risk factors of non-diagnostic results based on cause of error in liver tumor biopsy.

Materials And Methods: This single-institution, retrospective study included 843 patients [445 men, 398 women; median age, 67 years] who underwent a total of 938 liver tumor biopsies between April 2018 and September 2022. An 18-G cutting biopsy needle with a 17-G introducer needle was used.

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Article Synopsis
  • - The study investigated the effectiveness of the BioSentry Tract Sealant System (BTS) in reducing pneumothorax rates during CT-guided lung biopsies using an 18G biopsy and 17G introducer needle, comparing 125 patients treated with BTS to 147 patients without it.
  • - Results showed that 18% of patients in the BTS group experienced pneumothorax, compared to 26% in the control group, and while more patients in the BTS group had underlying emphysema, this did not significantly increase the rate of chest tube insertions.
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  • - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
  • - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
  • - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
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Background: Spinal cord stimulation is an established technique wherein diverse electrode types are strategically implanted within the spinal epidural space for neuromodulation. Traditional percutaneous puncture cylindrical electrodes (PEs) are predominantly implanted by interventionalists utilizing a percutaneous technique under the monitor of radiation, which is a nonvisualized procedure.

Objective: Our study aimed to assess the feasibility of percutaneous endoscope-assisted visualized implantation approach for PEs, delineating its specific merits and demerits compared to the traditional method.

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