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Central Venous Line Placement prior to Gastric Bypass Improves Operating Room Efficiency
Joint Authors
Kohn, Geoffrey P.
Stavas, Joseph M.
Passannante, Anthony
Dixon, Robert G.
Overby, D. Wayne
Colton, Karen J.
Farrell, Timothy M.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-07-08
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Bariatric surgery has increased across America.
Venous access is difficult in these patients.
Anesthesiologists often utilize valuable operating room (OR) time acquiring reliable intravenous lines.
Our objective was to determine if outpatient central venous line (CVL) placement improves OR efficiency and professional reimbursement for CVL insertion.
Methods.
In our bariatric practice, selected surgery patients have outpatient CVLs placed during prophylactic vena cava filter placement.
In a cohort of 268 gastric bypass patients operated between 1/01 and 11/06, we compared time-to-incision between 106 with pre-established CVLs and 162 without.
In addition, we determined professional compensation rates for CVLs placed outpatient versus CVLs inserted in the OR.
Results.
Patients with preoperative (outpatient) CVLs required 35.6±12.5 minutes to skin incision compared with 42.5±13.9 minutes for controls (P<0.0001), and 34.9% had skin incision in <30 minutes compared with 16.4% of controls.
Radiologists collected 28.2% of outpatient billings for CPT code 36556, compared with anesthesiologists who collected <1% when placing CVLs in the OR.
Conclusions.
Outpatient CVLs prior to gastric bypass improve efficiency in the OR with earlier skin incision.
Professional reimbursement is better for outpatient CVLs than intraoperative inpatient CVLs.
American Psychological Association (APA)
Overby, D. Wayne& Kohn, Geoffrey P.& Colton, Karen J.& Stavas, Joseph M.& Dixon, Robert G.& Passannante, Anthony…[et al.]. 2012. Central Venous Line Placement prior to Gastric Bypass Improves Operating Room Efficiency. ISRN Surgery،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-500437
Modern Language Association (MLA)
Overby, D. Wayne…[et al.]. Central Venous Line Placement prior to Gastric Bypass Improves Operating Room Efficiency. ISRN Surgery No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-500437
American Medical Association (AMA)
Overby, D. Wayne& Kohn, Geoffrey P.& Colton, Karen J.& Stavas, Joseph M.& Dixon, Robert G.& Passannante, Anthony…[et al.]. Central Venous Line Placement prior to Gastric Bypass Improves Operating Room Efficiency. ISRN Surgery. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-500437
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500437