%0 Journal Article
%T Evaluation of the Efficacy of a Novel Dermatotomy Device for Central Venous Cannulation.
%A Keeyapaj W
%A Cheung AT
%J J Cardiothorac Vasc Anesth
%V 0
%N 0
%D 2024 May 6
%M 38908939
%F 2.894
%R 10.1053/j.jvca.2024.04.003
%X <B>OBJECTIVE: </B>To test the effectiveness of a novel wire-guided scalpel (Guideblade) to create a precise dermatotomy incision for central venous catheter (CVC) insertion.<BR><B>METHODS: </B>Prospective, nonrandomized interventional study.<BR><B>METHODS: </B>Stanford University, single-center teaching hospital.<BR><B>METHODS: </B>Cardiac and vascular surgical patients (n = 100) with planned CVC insertion for operation.<BR><B>METHODS: </B>A wire-guided scalpel was used during CVC insertion.<BR><B>RESULTS: </B>A total of 188 CVCs were performed successfully with a wire-guided scalpel without the need for additional equipment in 100 patients, and 94% of CVCs were accomplished with only a single dermatotomy attempt. "No bleeding" or "minimal bleeding" at the insertion site was observed in 90% of patients 30 minutes after insertion and 80.7% at the conclusion of surgery.<BR><B>CONCLUSIONS: </B>The wire-guided scalpel was effective in performing dermatotomy for CVC with a 100% success rate and a very high first-attempt rate. The wire-guided scalpel may decrease bleeding at the CVC insertion site.