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Article
June 16, 1956

VENOSTOMY, AN IMPROVED "CUT-DOWN" PROCEDURE IN INFANTS AND CHILDREN

JAMA. 1956;161(7):619-621. doi:10.1001/jama.1956.62970070002014b
Abstract

Adequate fluid and electrolyte therapy is essential in the treatment of infants and children. Although ordinary venoclysis and hypodermoclysis will often suffice, it is frequently necessary to secure a more dependable route for the administration of fluids, blood, electrolytes, and medicines. Many techniques for inserting a cannula into a vein have been described, but, although these techniques have been satisfactory, we believe that the procedure can be improved. The method we use facilitates the introduction of a polyethylene tube into a vein. The procedure is usually referred to as "cannulation" technique,1 "cut-down" procedure,2 or venesection,3 but none of these terms seem to supply the correct description. We believe that the name "venostomy" is more appropriate, and we shall use this term in our discussion.

Venostomy is indicated when veins are difficult to find for venoclysis, when the child is being prepared for operation,2b when emergency situations

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