Reduced Complications of Supraclavicular Approach in Simulated Central Venous Access: Applicability to Military Medicine
| Autor: | Sasha Grek, Samsun Lampotang, Joshua W. Sappenfield, David E. Lizdas, Lou Ann Cooper |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Catheterization
Central Venous medicine.medical_specialty 0211 other engineering and technologies 02 engineering and technology Subclavian Vein Military medicine 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Infraclavicular approach medicine Humans Military Medicine Ultrasonography Interventional 021110 strategic defence & security studies business.industry General surgery Public Health Environmental and Occupational Health General Medicine Mixed reality Venous access Patient Simulation Military personnel Florida Supplement Article Patient Safety Ultrasonography Supraclavicular approach business Subclavian vein |
| Zdroj: | Military Medicine. 184:329-334 |
| ISSN: | 1930-613X 0026-4075 |
| Popis: | In a study with 76 anesthesia providers on a mixed reality simulator, central venous access via the supraclavicular approach to the subclavian vein, without ultrasonography required less attempts compared to the infraclavicular approach. Participants had shorter times to venous access and larger improvements in confidence. Results from this simulation-based study indicate that the supraclavicular approach may deserve consideration as an alternative approach for central venous access in deployed military environments. The use of ultrasonography during the supraclavicular approach to the subclavian vein is also described which may improve its safety profile. This technique could be more appropriate in scenarios when central venous access is preferred over intraosseous access for patients being transported to another location for further care. |
| Databáze: | OpenAIRE |
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