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ARTICLE |

Underestimation of Total Cost and Other Possible Uses of the Nontunneled Silastic Catheters

Len Scarpinato, DO
Arch Intern Med. 1994;154(9):1038. doi:10.1001/archinte.1994.00420090130017.
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Kudos to Raad et al for doing the study1 that begged to be done. I believe that Raad et al truly underestimated the insertion cost savings by not including the cost savings related to catheter removal. It is my estimation that catheter removal of the tunneled catheters could cost almost the same amount as that of insertion. That would change their cost savings from $2300 up to $4600 and make their annual cost savings in excess of $14 million. I would be interested in any data they have on that.

In the late 1980s, in Kansas City, Mo, we saw the utility of these nontunneled catheters. They were easier to place than centrally placed central venous catheters. We placed these catheters in several unique patients, such as one with secretory diarrhea (whose gastroenterologist wanted the bowel at rest). The second patient had congestive heart failure requiring inotropic support via

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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