The vessel dilator for central venous catheter placement: forerunner for success or vascular misadventure? J Intensive Care hled 2001;16:263-269.During placement of a central venous catheter (CVC), the vessel dilator and/or combination dilator/sheath-introducer are recognized as potential causative agents in numerous traumatic complications that may be erroneously ascribed to the catheter, placement needle, or guidewire. A review of the literature and device-user sun-eyare offered in support of the need for additional training in safe dilator use, as well as the need to address device labeling and device design.From the 'Food and Drug Administration, Ccnter for Devices and Radiological Health, Office
During placement of a central venous catheter (CVC), the vessel dilator and/or combination dilator/sheath‐introducer are recognized as potential causative agents in numerous traumatic complications that may be erroneously ascribed to the catheter, placement needle, or guidewire. A review of the literature and device‐user survey are offered in support of the need for additional training in safe dilator use, as well as the need to address device labeling and device design.
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