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Biomedical subjects

J M Messick

Publications and source records attributed to J M Messick.

44 records · Page 3Linked to original sources
PubMedDate not supplied

A systems analysis approach to planned change in a clinical psychiatric program.

In health car facilities, systems studies are commonly conducted as ivory-tower operations with minimal impact and little practical result. A real-life case study was presented to demonstrate how it can be used effectively in a collaborative manner to implement constructive change. Systems Analysis techniques were succe-sfully used with the staff of a psychiatric ward to plan for a satellite outpatient treatment program. The focus was on collaboration to help the ward to obtain objective information for decisions concerning the need for changes in their existing system.

California↗
PubMedDate not supplied

Brachial plexus neuropathy following attempt at subclavian vein catheterization. Case report.

BACKGROUND AND OBJECTIVES: The subclavian vein is often used for placement of central venous catheters, and the possibility exists of nerve injury as a complication of the procedure. METHODS: A 58-year-old woman undergoing subclavian central catheter placement sustained a brachial plexus injury. A review of the English-language literature revealed no reports of brachial plexus injury during placement of a subclavian central catheter, although three reports were found in the non-English-language literature. RESULTS: The anatomic relationship of the subclavian artery, vein, and brachial plexus at the supraclavicular triangle is described, and suggestions are given as to how to avoid this problem. CONCLUSIONS: Brachial plexus injury can occur with placement of subclavian central catheters, but proper technique should minimize this complication.

Brachial Plexus↗