, in 1953, described his revolutionary technique of overwire catheterisation little would he have anticipated the widespread use and abuse of the same in today's intensive care.
Arterial injury is not uncommon during the procedure but is potentially devastating in spite of the safety and advantages of the Seldinger
After penetration of the CVC , Seldinger
technique was used to pass a central venous catheter.
From that point the instrument was gradually advanced by rotation without pushing, until the tip could be endoscopically identified and then introduced, using Seldinger
's technique, twist by twist into the trachea under fibreoptic control.
Central venous cannulation became popular during 1970s when widespread application of total parenteral nutrition popularised subclavian vein cannula placement, the Seldinger
technique and J-tip guidewire made central venous cannulation through the external jugular vein practical and the balloon-tipped pulmonary artery catheter was introduced and accepted.
technique of renal arteriography taken on May 8 showed that left renal artery-vascular distribution was sparse, and the right was in normal vascular distribution.
Various methods have been described for inserting arterial catheters, including direct cannulation with an over the needle approach, a modified seldinger
technique, the liquid stylet technique2, a pressure curve-directed technique3, use of an ultrasound stethoscope blood flow detector4, Doppler assisted radial artery cannulation5.
Studies comparing a Seldinger-based cricothyroidotomy technique with the standard surgical technique in human cadavers have shown a success rate ranging from 88 to 93% with Seldinger
technique compared to 84 to 86% with the surgical technique (7,8).
Direction of J-tip of the guidewire, in seldinger
technique, is a significant factor in misplacement of subclavian vein catheter: a randomized, controlled study.