Comparative efficacy of supraclavicular versus infraclavicular approach of subclavian vein cannulation under ultrasound guidance: A randomised clinical trial
被引:14
作者:
Mageshwaran, T.
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All India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, IndiaAll India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, India
Mageshwaran, T.
[1
]
Singla, Deepak
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All India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, IndiaAll India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, India
Singla, Deepak
[1
]
Agarwal, Ankit
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All India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, IndiaAll India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, India
Agarwal, Ankit
[1
]
Kumar, Ajit
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All India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, IndiaAll India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, India
Kumar, Ajit
[1
]
Tripathy, DebendraK
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All India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, IndiaAll India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, India
Tripathy, DebendraK
[1
]
Agrawal, Sanjay
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All India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, IndiaAll India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, India
Agrawal, Sanjay
[1
]
机构:
[1] All India Inst Med Sci, Dept Anaesthesiol & Crit Care, Rishikesh, Uttarakhand, India
Catheterisation;
complications;
subclavian vein;
ultrasound;
SHORT AXIS;
CATHETERIZATION;
D O I:
10.4103/ija.IJA_1316_20
中图分类号:
R614 [麻醉学];
学科分类号:
100217 ;
摘要:
Background and Aims : Subclavian vein (SCV) cannulation can be performed using either supraclavicular (SC) or infraclavicular (IC) long-axis approach under ultrasound guidance (USG). However, their relative efficacy remains debatable. The aim of this study was to compare these two approaches in terms of safety, ease, success rate, and record the incidence of complications. Methods: We studied 90 adult patients distributed into two groups of 45 each. Data regarding the time taken for first venous puncture, the time required for inserting the catheter, the total number of attempts, the incidence of guidewire misplacement, and other mechanical complications were compared using Student's t-test for quantitative data and Chi-square test for qualitative value. Results: Mean puncture time was significantly lesser in group SC than IC (P-value < 0.001). Mean catheter insertion time taken was also significantly less in group SC than IC (P-value = 0.003). The first attempt rate was higher in group SC than IC (P = 0.013). Guidewire misplacement was seen in the IC group, P = 0.001. No pneumothorax, haemothorax, or arterial puncture were noted in our study in any of the groups. Conclusion: We conclude that for right-sided SCV cannulation using USG in the long axis, the SC approach is superior to the IC approach in terms of overall ease of cannulation. It was associated with a relatively shorter procedure time, higher success rate in the first attempt, lesser incidence of guidewire misplacement, and other complications. It should be considered as an alternative approach to the IC approach in patients requiring central line insertion.
机构:
Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Prasad, Ram
Soni, Shikha
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Soni, Shikha
Janweja, Sarita
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Janweja, Sarita
Rajpurohit, Jogendra S.
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Rajpurohit, Jogendra S.
Nivas, Ram
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Nivas, Ram
Kumar, Jagdish
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
机构:
Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Rastogi, Amit
Agarwal, Aarti
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Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Agarwal, Aarti
Goyal, Puneet
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Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Goyal, Puneet
Priya, Vansh
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TSM Med Coll, Dept Anaesthesiol, Lucknow, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Priya, Vansh
Dhiraaj, Sanjay
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Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Dhiraaj, Sanjay
Haldar, Rudrashish
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Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
机构:
Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Prasad, Ram
Soni, Shikha
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Soni, Shikha
Janweja, Sarita
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Janweja, Sarita
Rajpurohit, Jogendra S.
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Rajpurohit, Jogendra S.
Nivas, Ram
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
Nivas, Ram
Kumar, Jagdish
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Dr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, IndiaDr SN Med Coll, Dept Anaesthesiolgy & Crit Care, Jodhpur, Rajasthan, India
机构:
Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Rastogi, Amit
Agarwal, Aarti
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Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Agarwal, Aarti
Goyal, Puneet
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Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Goyal, Puneet
Priya, Vansh
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h-index: 0
机构:
TSM Med Coll, Dept Anaesthesiol, Lucknow, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Priya, Vansh
Dhiraaj, Sanjay
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h-index: 0
机构:
Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India
Dhiraaj, Sanjay
Haldar, Rudrashish
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h-index: 0
机构:
Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, IndiaSanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, A Block, Lucknow 226014, Uttar Pradesh, India