Influence of arm position on catheter placement during real-time ultrasound-guided right infraclavicular proximal axillary venous catheterization † †This Article is accompanied by Editorial Aev445.

Abstract

The trial was registered with the Clinical Trial Registry of Korea: https://cris.nih.go.kr/cris/index.jsp. Identifier: KCT0001417.

Transoesophageal echocardiographic evaluation of central venous catheter positioning using Peres’ formula or a radiological landmark-based approach: a prospective randomized single-centre study

“…In catheterization of the right subclavian vein, subjects were placed in 10 Trendelenburg position, with their upper limbs abducted to prevent misplacement of the catheter. 15 The skin insertion point was on the inferior side of the right clavicle and lateral to its midpoint, while an optimal ultrasonographic image of the straight portion of the subclavian or proximal axillary vein was maintained on the longitudinal axis view.…”

Infraclavicular access to the axillary vein — new possibilities for the catheterization of the central veins in the intensive care unit

“…Glen et al [29] in a group of 119 mechanically ventilated patients conducted cannula tions using the shortaxis technique with an effectiveness of 94% and with a low rate of complications. Ahn et al [30] performed a randomized clinical trial of mechanically ven tilated patients and compared the influence of abduction of the arm on the efficacy of catheterization of the axillary vein. A survey that preceded the samplesize calculation demonstrated an efficacy of 97.1% versus 98.8%, and did not show differences in the rates of complications.…”

“…A survey that preceded the samplesize calculation demonstrated an efficacy of 97.1% versus 98.8%, and did not show differences in the rates of complications. In the subgroup of patients cannulated with abduction of the arm there was a considerably smaller rate of improper place ment of the tip of the catheter [30]. Buzancais et al [31] used the longaxis technique for infraclavicular access and compared the cannulation of the axillary vein in proximal and distal parts of the vein.…”

“…Interestingly, abduction of the arm and catheterization of the axillary vein in its proximal segment reduces the rate of this complica tion [30,31]. It should be noted that intravenous location of the tip of the catheter outside the superior vena cava is not a dangerous complication.…”

Insertion of central vascular catheter: adherence to infection prevention bundle

“…The implementation of preventive measures to control healthcarerelated infections aims to provide a safer care to patients. This theme has been discussed all over the world, showing several strategies that can be adopted to guarantee quality in health care (6,8,9) . For this reason, this study aims to evaluate the compliance of the care process, involving the insertion of CVC for hemodialysis.…”