History of Vascular Access

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I used to place IJ and subclavian intracaths. Steel needle with catheter through needle. Potential for cath fragment embolism if you pulled cath back through needle. 

 Andrew J Bowman

On Dec 19, 2010, at 2:35, Stephen Richey <stephen.richey at gmail.com> wrote:

> Does anyone happen to know how central lines (subclavian, internal jugular,
> etc) were inserted before the introduction of the Seldinger technique in
> 1953?  Was it even a common practice before that time?  I have my
> reservations that it was given that they did not have the vascular catheters
> we have now (at least not that I am aware of) and the idea of leaving a
> steel needle in those areas seems like a bad idea.  The topic came up during
> a conversation about the history of trauma resuscitation in the ER last
> night and I had to admit I didn't know.  My guess was that vascular cutdowns
> were more common prior to the introduction of the Seldinger technique and
> vascular catheters (but then again what would you use for cutdown
> cannulation unless you used something akin to what embalmers use to inject
> fluid into the vessels).
> 
> 
> -- 
> Stephen Richey
> 
> "A man's moral worth is established only at the point where he is ready to
> give up his life in defense of his convictions."- Henning von Tresckow
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