Application of modified subclavian vein catheterization via subclavian approach in Neurosurgery Intensive Care Unit
10.3760/cma.j.issn.1008-6706.2017.23.028
- VernacularTitle:改良锁骨下静脉置管术在神经外科重症监护室的应用
- Author:
Jian GUO
1
;
Rucai ZHAN
;
Binbin ZHANG
;
Shengjie LI
;
Jinlong SUN
Author Information
1. 山东大学附属山东省千佛山医院神经外科
- Keywords:
Catheters,indwelling;
Subclavian vein;
Neurosurgical procedures;
Intensive care units
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(23):3628-3632,后插1
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of the modified subclavian vein cathetrization (SVC) in Neurosurgical Intensive Care Unit (NICU).Methods The clinical data of 292 patients experienced SVC in NICU over a 3-year-and-9-month periodwere retrospectively analyzed,and they were divided into groups by the method of SVC,in which 227 patients underwent modified SVC were identified and compared with 65 patients who underwent routine SVC during the same period.Medical charts of the patients were reviewed to collect demographic information,such as age,sex,rate of success at first-puncture and complications.Statistical comparisons between the two groups were made using Chi-square analysis for the variables and were considered to be statistically significant if P ＜ 0.05.Data were analyzed using SPSS 19.0 (Armonk,NY:IBM Corp,USA).Results In the SVC group,the total success was achieved in 61 patients (93.8％),and the incidence rate of complications related to puncture and cathetrization was 29.5％.In the mSVC group,the total successful rate was 99.1％,and the incidence rate of complications related to puncture and cathetrization was 7.1％.The mSVC was better than traditional SVC in successful rate and incidence rate of complications related to puncture and cathetrization (x2 =4.61,7.32,all P ＜ 0.05).Conclusion mSVC for the patients in NICU is a safe and effective technique with low morbidity and mortality.
