Comparison of ultrasound guidance for axillary or subclavian vein catheterization: a randomized controlled non-inferiority trial

نویسندگان

  • B Louart
  • G Buzançais
  • C Roger
  • L Muller
  • JY Lefrant
چکیده

Methods Randomized non-inferiority single-centre study. All patients admitted in intensive care unit (ICU) or operating room, requiring a central vein catheterization (CVC) without contraindication for SVC, were randomly assigned to subclavian or axillary groups. The primary endpoint was to compare success rate of each approach. The secondary endpoints were: strategy success rates, catheter position and complications. Strategy of CVC consisted in using the allocated approach and switching to the non-allocated approach after two failed punctures.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Guidance and examination by ultrasound versus landmark and radiographic method for placement of subclavian central venous catheters: study protocol for a randomized controlled trial

BACKGROUND Central venous catheters play an important role in patient care. Real-time ultrasound-guided subclavian central venous (SCV) cannulation may reduce the incidence of complications and the time between skin penetration and the aspiration of venous blood into the syringe. Ultrasonic diagnosis of catheter misplacement and pneumothorax related to central venous catheterization is rapid an...

متن کامل

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

Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditionally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable for critically ill patients. For this reason, the axillary vein seems to be a rational alternative approach. In this narrative review, we evaluate the usefuln...

متن کامل

Comparison between the long-axis/in-plane and short-axis/out-of-plane approaches for ultrasound-guided vascular catheterization: an updated meta-analysis and trial sequential analysis

Background A long-axis in-plane (LA-IP) approach and a short-axis out-of-plane (SA-OOP) approach are the two main approaches used in ultrasound (US)-guided vascular catheterization. However, the efficacy and safety of these approaches remain controversial. Therefore, we performed this meta-analysis to compare the two techniques in vascular catheterization. Materials and methods Relevant studi...

متن کامل

Subclavian oblique-axis catheterization technique

We read with interest the work by Saugel et al. [1] about ultrasound-guided central venous catheter placement. In their work the authors accurately describe “in-plane” and “out of plane” techniques for central venous catheter access. However, they describe only briefly the oblique-axis technique and for this approach only articles about internal venous jugular catheterization are cited [2, 3] a...

متن کامل

Ultrasound-guided central venous catheterization: what is the evidence?

In recent years, international health quality assurance organizations have been recommending ultrasound guidance for central venous punctures. This article reviews the evidence behind these recommendations. The MEDLINE, PubMed and SCIELO databases were searched for the following MeSH terms: central venous access, ultrasonography, and adults. The search was conducted on September 24, 2010, and s...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 3  شماره 

صفحات  -

تاریخ انتشار 2015