Comparison of safety and efficacy of ultrasound-guided supraclavicular and infraclavicular subclavian vein cannulation in intensive care unit patients: A randomized clinical study.
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引用次数: 0
Abstract
Background: The aim of this study was to evaluate and compare the ease, difficulties, and complication rate of subclavian venous catheterization using the supraclavicular (SC) and infraclavicular (IC) approach under real-time ultrasound (USG) guidance in intensive care unit (ICU). The primary objective was to compare total procedure time during USG-guided subclavian vein catheterization.
Methods: This was a prospective randomized comparative study. Eighty ICU patients of age >18 years of both genders requiring central venous catheterization were included in the study. Patients were randomly assigned to two groups using computer-generated random number table. USG guide central venous catheterization was done through SC approach in Group SC and through IC approach in Group IC after taking written consent.
Results: The total procedure time was 304.5 ± 9.35 s in Group SC compared to 389.63 ± 18.04 s in Group IC (P < 0.001). The scanning time in SC approach was 85.60 ± 10.67 s and in IC approach 95.95 ± 11.22 s (P < 0.001). The needling time in Group SC was 30.88 ± 4.37 s compared to Group IC (33.08 ± 4.24 s) (P = 0.025). The quality of needle visualization was observed better in Group SC (82.5%) compared to Group IC (47.5%) (P = 0.001). The incidence of arterial puncture (20% vs. 5%), subcutaneous emphysema (2.5% vs. none), hematoma (12.5% vs. 5%), and pneumothorax (7.5% vs. none) has been observed in Group IC versus Group SC, respectively (P > 0.05).
Conclusion: USG-guided SC approach of subclavian vein catheterization has shorter procedural time with better needle visualization and less complication rates than the IC approach.
期刊介绍：
IJCIIS encourages research, education and dissemination of knowledge in the field of Critical Illness and Injury Science across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in the emergency intensive care and promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.
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