Comparison of the effect of ultrasonic guidance and body surface marking in subclavian or axillary vein cannulation
- VernacularTitle:超声引导与体表标志法行锁骨下／腋静脉置管的疗效对比
- Author:
Dong-Mei ZHU
1
;
Ming ZHONG
;
Wei WU
;
Jie-Qiong SONG
;
Jun-Feng HUANG
;
Du-Ming ZHU
;
Yi-Zhou HE
Author Information
1. 上海市松江区泗泾医院急诊科
- Keywords:
pneumothorax;
chest X-ray;
subclavian vein;
axillary vein;
cannulation
- From:
Chinese Journal of Clinical Medicine
2016;23(3):402-404
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy of ultrasound guidance and body surface marking in subclavian or axillary vein cannulation .Methods:A retrospective analysis was performed on 228 patients with subclavian or axillary vein cannulation ,including 130 cases in ultrasound-guided group and 98 cases in body surface marking group .Chest radiography was performed to confirm the occurrence of pneumothorax and catheter malposition in all patients .Results:There was no significant difference in baseline data between the two groups .The incidence of catheter malposition in ultrasound-guided group was lower than that in the body surface marking group ,but the difference was not statistically significant (0 .9% vs 5 .1% , P=0 .09) .No pneumothorax was found in the ultrasound-guided group ,and 4 cases of pneumothorax (4% ) occurred in the body surface marking group , and the difference is statistically significant ( P= 0 .03 ) . Conclusions: The safety of the subclavian/axillary vein catheter under ultrasound guidance was higher than that of the body surface marker ,the incidence of pneumothorax and the incidence of the catheter malposition were both quite low ,and postoperative chest X-ray examination should be decided according to the patient’s symptoms .
