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Supraclavicular versus infraclavicular approach for ultrasound-guided right subclavian venous catheterisation: a randomised controlled non-inferiority trial
- Source :
- AnaesthesiaReferences. 77(1)
- Publication Year :
- 2021
-
Abstract
- Infraclavicular and supraclavicular approaches are used for subclavian venous catheterisation. We hypothesised that the supraclavicular approach is non-inferior to the infraclavicular approach in terms of safety during ultrasound-guided right subclavian venous catheterisation. We randomly allocated 401 neurosurgical patients undergoing ultrasound-guided right subclavian venous catheterisation into supraclavicular (n = 200) and infraclavicular (n = 201) groups. We assessed catheterisation-related complications (primary outcome measure) including catheter misplacement and mechanical complications (arterial puncture, haematoma formation, pneumothorax and haemothorax). We also recorded catheterisation success rates and time required for venous puncture and catheterisation. The number (proportion) of patients with catheterisation-related complications was six (3.0%) in the supraclavicular group and 27 (13.4%) in the infraclavicular group, mean difference (95%CI) -10.4% (-15.7 to -5.1%), p
- Subjects :
- Adult
Male
medicine.medical_specialty
Catheterization, Central Venous
Right subclavian
Anesthesia, General
Subclavian Vein
Neurosurgical Procedures
Young Adult
Infraclavicular approach
medicine
Humans
Venous catheterisation
Ultrasonography, Interventional
Aged
Hemothorax
Hematoma
business.industry
Pneumothorax
Middle Aged
medicine.disease
Ultrasound guided
Surgery
Catheter
Anesthesiology and Pain Medicine
Non inferiority trial
Female
business
Subclavian vein
Subjects
Details
- ISSN :
- 13652044
- Volume :
- 77
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- AnaesthesiaReferences
- Accession number :
- edsair.doi.dedup.....a14f891a6fe140a3c62ee3359b66846b