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Real-time ultrasound-guided versus landmark-guided subclavian vein catheterization in the intensive care unit: a prospective randomized study

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Emergency and Critical Care Medicine 2023年第2期3卷 51-56页

作者： Sujit J.Kshirsagar Sanyogita V.Naik Anandkumar H.Pande Pradnya M.Bhalerao Chandraprabhu Birnale shivprasad thorve Department of Anaesthesiology and Critical Care B.J.Govt.Medical College and Sassoon General HospitalsPuneIndia

Background:The subclavian vein(SCV)is an alternative to the internal jugular vein when it is difficult to locate,such as in patients with hypovolemia or ***(USG)guidance for SVC cannulation has evolved,resulting in fewer complications and higher first-pass success *** study aimed to compare the effectiveness and safety of SCV cannulation with USG-and landmark-guided ***:In this prospective randomized interventional controlled study,80 patients admitted to the intensive care unit between July 2022 and October 2022 were randomly assigned to the landmark method group(LM group)and USG *** the LM group,SCV cannulation was performed using the traditional landmark technique,whereas in the USG group,it was performed using USG *** primary objective of this study was to evaluate the ease of subclavian central venous cannulation in critically ill patients using the 2 *** secondary objectives were to compare the success rate of cannulation between these 2 techniques,evaluate the number of attempts,assess cannulation failure,and assess mechanical ***:The first-pass success rates were 70%and 92.5%in the LM and USG groups,respectively(P<0.001).The average numbers of attempts in the LM and USG groups were 1.275(±0.520)and 1.075(±0.266),respectively(P=0.034).The average procedure durations were 7.45(±1.10)and 8(±0.933)minutes in the LM and USG groups(P=0.018),*** rates of complications in both groups were not statistically ***:The USG guidance for SCV cannulation has an advantage over landmark-guided methods in a critical care *** SCV is a good alternative to internal jugular vein *** average time to cannulation was longer in the USG group than in the LM group,which can decrease with the frequent use of USG and increasing operator *** trials:This study was registered in the Clinical Trials Registry-India(CTRI Trial ***/2022/07/0

关键词： Central venous cannulation Landmark method Subclavian vein Ultrasonography

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