ABSTRACT
AIM: To assess the efficacy of transillumination of the palm of the hand in establishing venous access in small infants. METHODS: One hundred infants aged 2 to 36 months were considered for venipuncture under transillumination following failure to find an accessible vein or a failed venipuncture attempt. RESULTS: In 40 of the 100 infants, a vein was visible with transillumination. In 22 of these children, previous attempts to achieve a venous line failed (mean number of failed venipunctures 2.11 +/- 0.6) and in 18 infants, no vein could be identified. Using transillumination, venous access was established with just one venipuncture in 39 of the 40 patients. CONCLUSIONS: Transillumination of the palm can aid in establishing venous access in infants. This can be easily carried out using a common otoscope.
Subject(s)
Hand , Pediatrics/methods , Phlebotomy/methods , Transillumination/methods , Child, Preschool , Female , Humans , Infant , Infusions, Intravenous , Israel , Male , Pediatrics/instrumentation , VeinsABSTRACT
As many as 120 men suffering from chronic recurrent radicular syndrome of the lumbosacral localization were discovered to have premorbid weakness of sexual constitution and phenomena of functional hypogonadism manifesting itself in imbalance of gonadotropic hormones and sexual dysfunction. To correct the disorders found, use was made of chorionic gonadotropin as part of multimodality therapy, which led to acceleration of painful radicular syndrome regress, less frequent occurrence of disease relapses and contributed to sexual rehabilitation if combined with familial psychotherapy.