Ultrasound-guided catheterization of subclavian vein:a comparison with landmark technique
10.3760/cma.j.issn.0254-1416.2010.03.011
- VernacularTitle:超声引导右锁骨下静脉穿刺置管的效果:与体表解剖标志定位法比较
- Author:
Chao DING
;
Li SUN
;
Hai WANG
;
Yaozhong CHENG
;
Guijun ZHAO
;
Yan ZHANG
- Publication Type:Journal Article
- Keywords:
Ultrasonography,doppler;
Subclavian vein;
PuncturesDOh 10.3760/cma.j.issn.0354-1416.2010.03.011
- From:
Chinese Journal of Anesthesiology
2010;30(3):288-289
- CountryChina
- Language:Chinese
-
Abstract:
Objective The study was designed to compare the ultrasound-guided technique for the cannulation of subclavian vein with the traditional technique using anatomic landmarks.Methods One hundred and twenty ASA Ⅱ or Ⅲ patients undergoing cannulation of subclavian vein before gastrp-intestinal tumor resection were randomly divided into 2 groups (n=60 each) according to the technique used for cannulation:ultrasound-guided group (group US) and anatomic landmark group (group AL).The puncture time,successful puncture and complications were recorded.Resulls The success rate was 100% in group US;while the cannulation failed in one patient in group AL.The rate of successful puncture at 1st attempt was 100% in group US but ouly 90% in group AL.The cannulation time was significantly shorter in group US than in group AL.The incidence of accidental puncture of subclavian artery,hematoma and pneumothorax was significantly higher in group AL than in group US.Conclusion The ultrasound-guided catheterization of the subclavian vein is superior to the landmark technique.