Supraclavicular central venous catheterization

Helmkamp, B. Frederick; Sanko, Stephan R.

doi:10.1016/0002-9378(85)90339-4

Cited by 12 publications

(7 citation statements)

References 8 publications

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“…Ideally, the tip of the catheter should be placed at the junction of the superior vena cava and the right atrium or in the upper right atrium using a technique offering the highest success rate at the lowest risk (Helmkamp and Sanko, 1985;Henriques et al, 1993).…”

Section: Discussionmentioning

confidence: 98%

“…Infraclavicular and supraclavicular subclavian vein catheterization and internal jugular vein catheterization are the most widely adopted techniques of percutaneous central venous access (Felsch and Richter, 1975;Helmkamp and Sanko, 1985;Yerdel et al, 1991a,b;Ladosci and Cohn, 1995;Johnson and Hiat, 1996;Tripathi and Tripathi, 1996). All these approaches are relatively quick and simple.…”

Section: Introductionmentioning

confidence: 97%

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Brachiocephalic veins: An overlooked approach for central venous catheterization

2002

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Central venous access is important in both assessment and treatment of the patient. In modern clinical practice, a percutaneous approach is preferred. The well-established subclavian and internal jugular vein catheterization techniques, however, still carry the risk of major acute complications. In this article we describe a trial study of a percutaneous brachiocephalic vein catheterization technique conducted on a total of 74 cadavers undergoing autopsy. Relying on constant and easily recognizable anatomical landmarks, we performed a total of 128 catheterizations of the right and left brachiocephalic veins. The success of catheterization was ascertained by regional dissection. Our results show very high reproducibility with a success rate of about 97% on the first attempt of catheterization on both right and left sides. Equally important, collateral injury of neighboring structures was consistently absent. We propose the introduction of this rather overlooked approach into clinical practice.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 97%

Brachiocephalic veins: An overlooked approach for central venous catheterization

2002

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“…Most central venous catheters in mechanically ventilated anesthesia patients are inserted via the right internal jugular route when clinical indications exist. 6,8,10,17 The high jugular approach is recognized by most physicians as the safest. The most frequent complication is arterial puncture (0.6 -30%; commonly, 1-5%), whereas the pneumothorax rate is very low (0.2-1.3%) and is usually caused by a catheterization performed too close to the clavicle.…”

Section: Discussionmentioning

confidence: 99%

“…16 The popularity of subclavian venous catheterization started to decline, especially in anesthesia, when the internal jugular route was popularized in the early 1970s and because of a fear of potential complications, mainly pneumothorax in patients treated with positive pressure ventilation. 10 The primary outcome of our study was to define venipuncture, catheterization and entire procedure success rates, and the complication rate of subclavian venous catheterization via the supraclavicular approach with special focus on mechanically ventilated patients. The secondary outcome was to potentially make recommendations regarding this technique of central venous catheterization in mechanically ventilated patients.…”

mentioning

confidence: 99%

Supraclavicular Approach Is an Easy and Safe Method of Subclavian Vein Catheterization Even in Mechanically Ventilated Patients

Czarnik

Gawda²,

Perkowski³

et al. 2009

Anesthesiology

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“…The advantages of the supraclavicular approach includes relatively easy surface land marks ,large target size, high overall and initial success rate (14) , successful performance despite lack of experience (2) , significant reduction in documented complications and adequate position of catheters (8)(11) is in line with our findings with the obese patient group. Above 90% success rate has been achieved using this technique in different patient groups such as during cardiopulmonary resuscitation (3) , in ICU or in dialysis patients (2) , in gynaecological patients (6) and in infants.…”

Section: Discussionmentioning

confidence: 99%

Supraclavicular Subclavian Vein Catheterization in Morbidly Obese

Pathiraja

Sharpe

Woojner

et al. 2009

Sri Lankan J Anaesthesiol

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Background:Obesity is one reason which will make central venous catheterization a difficult procedure. Ultrasound will help in locating the veins but in some patients because of short neck, internal jugular approach will be technically difficult. Supraclavicular approach to subclavian cannulation has been described as being less dependent on anatomical land marks and associated with comparatively less complications even in inexperienced hands. Literature does not show the effectiveness of this method in morbidly obese patients. Our aim of this study was to investigate the rates of success and complications of supraclavicular subclavian central venous catheterization in the morbidly obese. Methods:From amongst the morbidly obese patients who presented for FOBI gastric pouch bypass surgery, supraclavicular approach to subclavian venous cannulation was attempted by an anaesthetic registrar who was relatively new to this technique. Closed questionaire was used to gather data such as age, gender, weight, height, BMI, attempts with seeker needle and proper needle. Immediate and late complications were noted till catheter removal. Results:Catheterization was attempted in 48 patients with mean weight 131.29+/-29.89kg and mean BMI of 47.60+/-9.80. Overall success rate was 97.9% (47 out of 48 patients) with average attempts 1.44 (68 in 47 successful cannulations) of seeker needle and with average attempts 1.40 (66 in 47 successful cannulations) of proper needle. There was 01 pneumothorax, 01 catheter malposition and 01 catheter related infection. Conclusion:Supraclavicular approach is a reliable way of obtaining central venous access with less complications in obese, even in less experienced hand.

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Supraclavicular central venous catheterization

Cited by 12 publications

References 8 publications

Brachiocephalic veins: An overlooked approach for central venous catheterization

Brachiocephalic veins: An overlooked approach for central venous catheterization

Supraclavicular Approach Is an Easy and Safe Method of Subclavian Vein Catheterization Even in Mechanically Ventilated Patients

Supraclavicular Subclavian Vein Catheterization in Morbidly Obese

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