A randomized clinical trial of ultrasound-guided infra-clavicular cannulation of the subclavian vein in cardiac surgical patients: short-axis versus long-axis approach
| Autor: | Francesco Nicolini, Luca Cantadori, Tullio Manca, Gianluca Gonzi, Antonella Vezzani, Andrea Ramelli, Gregorio Santori, Claudia Brusasco, Francesco Corradi, Tiziano Gherli |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Catheterization Central Venous Time Factors Kaplan-Meier Estimate Critical Care and Intensive Care Medicine Subclavian Vein law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Insertion time law Anesthesiology Ultrasound medicine Humans 030212 general & internal medicine Postoperative Period Prospective Studies Cardiac Surgical Procedures Vein Ultrasonography Interventional Aged Scanning axis Aged 80 and over business.industry 030208 emergency & critical care medicine Central venous cannulation Subclavian vein Surgery Cardiac surgery Catheter medicine.anatomical_structure Female Jugular Veins business |
| Zdroj: | Intensive care medicine. 43(11) |
| ISSN: | 1432-1238 |
| Popis: | The aim of this study was to compare the success rate and safety of short-axis versus long-axis approaches to ultrasound-guided subclavian vein cannulation. A total of 190 patients requiring central venous cannulation following cardiac surgery were randomized to either short-axis or long-axis ultrasound-guided cannulation of the subclavian vein. Each cannulation was performed by anesthesiologists with at least 3 years’ experience of ultrasound-guided central vein cannulation (>150 procedures/year, 50% short-axis and 50% long-axis). Success rate, insertion time, number of needle redirections, number of separate skin or vessel punctures, rate of mechanical complications, catheter misplacements, and incidence of central line-associated bloodstream infection were documented for each procedure. The subclavian vein was successfully cannulated in all 190 patients. The mean insertion time was significantly shorter (p = 0.040) in the short-axis group (69 ± 74 s) than in the long-axis group (98 ± 103 s). The short-axis group was also associated with a higher overall success rate (96 vs. 78%, p |
| Databáze: | OpenAIRE |
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