Real-Time Ultrasound-Guided Subclavian Vein Cannulation Versus the Landmark Method in Critical Care Patients

2012 ◽  
Vol 56 (2) ◽  
pp. 98
Author(s):  
Mariantina Fragou ◽  
Andreas Gravvanis ◽  
Vasilios Dimitriou ◽  
Apostolos Papalois ◽  
Gregorios Kouraklis ◽  
...  
Keyword(s):  
Critical Care ◽  
Real Time ◽  
Subclavian Vein ◽  
Ultrasound Guided ◽  
Vein Cannulation ◽  
Critical Care Patients

Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: A prospective randomized study*

2011 ◽  
Vol 39 (7) ◽  
pp. 1607-1612 ◽  
Author(s):  
Mariantina Fragou ◽  
Andreas Gravvanis ◽  
Vasilios Dimitriou ◽  
Apostolos Papalois ◽  
Gregorios Kouraklis ◽  
...  
Keyword(s):  
Critical Care ◽  
Real Time ◽  
Subclavian Vein ◽  
Randomized Study ◽  
Prospective Randomized Study ◽  
Ultrasound Guided ◽  
Vein Cannulation ◽  
Critical Care Patients

scholarly journals Real-time ultrasound-guided subclavian vein cannulation in cardiac surgery: comparison between short-axis and long-axis techniques

Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P132
Author(s):  
F Corradi ◽  
T Manca ◽  
C Brusasco ◽  
F Cocconcelli ◽  
A Agostinelli ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Real Time ◽  
Subclavian Vein ◽  
Short Axis ◽  
Ultrasound Guided ◽  
Vein Cannulation

scholarly journals Real-Time Ultrasound-Guided Subclavian Vein Cannulation in Intensive Care Patients

2013 ◽  
Vol 14 (1) ◽  
pp. 79-81
Author(s):  
Nader Ibrahim ◽  
Rajnish Saha
Keyword(s):  
Intensive Care ◽  
Real Time ◽  
Subclavian Vein ◽  
Complication Rates ◽  
Ultrasound Guided ◽  
Level Of Evidence ◽  
Intensive Care Patients ◽  
Vein Cannulation ◽  
Lower Complication

Real-time ultrasound-guided subclavian vein cannulation in intensive care patients has higher success and lower complication rates compared to the traditional landmark method. Level of evidence: 1B (RCT with narrow CIs)

scholarly journals Cannulation of the subclavian vein using real-time ultrasound guidance

2020 ◽  
Vol 21 (4) ◽  
pp. 349-354
Author(s):  
Thomas W Davies ◽  
Hugh Montgomery ◽  
Edward Gilbert-Kawai
Keyword(s):  
Real Time ◽  
Complication Rate ◽  
Subclavian Vein ◽  
Ultrasound Guidance ◽  
Central Venous Access ◽  
Venous Access ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Vein Cannulation

Cannulation of the subclavian vein has many advantages when compared to other anatomical sites for central venous access. Difficulty in its ultrasonic visualisation, and the perceived consequent ‘higher’ complication rate, mean that this approach has fallen out of favour. This barrier, however, may now have disappeared. In this article, we discuss the indications, contraindications and complications associated with subclavian vein cannulation, and present an ultrasound-guided approach to infraclavicular subclavian cannulation.

scholarly journals A Study of Malposition of Central Venous Catheter – A Comparative Study between Ultrasound Guided and Anatomical Landmark Technique

2018 ◽  
Vol 2 (3) ◽  
pp. 277-281
Author(s):  
Lalit Kumar Rajbanshi ◽  
Sambhu Bahadur Karki ◽  
Batsalya Arjyal
Keyword(s):  
Real Time ◽  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Venous Catheter ◽  
Anatomical Landmark ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Catheter Tip ◽  
Landmark Technique

Introduction: Central venous catheterization is a routine procedure for long-term infusion therapy and central venous pressure measurement. Sometimes, the catheter tip may be unintentionally placed at the position other than the junction of superior vena cava and right atrium. This is called malposition and can lead to erroneous pressure measurement, increase risk of thrombosis, venous obstruction or other life threatening complications like pneumothorax, cardiac temponade.Objectives: This study aimed to observe the incidence of the malposition and compare the same between ultrasound guided catheterization and blind anatomical landmark technique.Methodology: This study was a prospective comparative study conducted at the intensive care unit of Birat Medical College and Teaching Hospital for two-year duration. All the catheterizations were done either with the use of real time ultrasound or blind anatomical landmark technique. The total numbers of central venous catheterization, the total incidences of malposition were observed. Finally the incidences were compared between real time ultrasound guided technique and blind anatomical landmark technique.Results: In two-year duration of the study, a total of 422 central venous cannulations were successfully done. The real time ultrasound was used for 280 cannulations while blind anatomical landmark technique was used for 162 patients. The study observed various malposition in 36 cases (8.5%). The most common malposition was observed for subclavian vein to ipsilateral internal jugular vein (33.3%) followed by subclavian to subclavian vein (27.8%) and internal jugular to ipsilateral subclavian vein (16.7%). In four patients the catheter had a reverse course in the internal jugular vein while the tip was placed in pleural cavity in three cannulations. There was coiling of the catheter inside left subclavian vein in one patient. The malposition was significantly reduced with the use of the real time ultrasound (P< 0.001). However there is no significant difference in the incidence of the various malposition between ultrasound guidance technique and blind anatomical landmark technique when compared individually.Conclusion: The malposition of the central venous catheter tip was common complication with the overall incidence of 8.5%. The most common malposition was subclavian vein to internal jugular vein. The use of real time ultrasound during the catheterization procedure can significantly reduced the risk of malposition.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 277-281

Sign in / Sign up

Export Citation Format

Share Document