Author(s):
1. Sneha Raju:
Dept. of Anesthesiology, LTMGH & LTMMC, Sion, Mumbai, India
2. Pravin Ubale:
Dept. of Anesthesiology, TNMC &BYL Nair Hospital,Mumbai,India
3. Abhijit S. Nair:
Basavatarakam Indo-American Cancer Hospital & Research Hospital., Hyderabad, India
Abstract:
Background and Objective: Subclavian vein (SV) catheterization via infraclavicular approach is routinely done for multiple uses in operating rooms as well as in intensive care units in selected patients. The aim of this study was to evaluate the influence of shoulder position on central venous catheter (CVC) tip location during infraclavicular subclavian approach. Methodology: A prospective observational study was conducted on 60 patients and included American Society of Anesthesiologist (ASA) physical status 1 and 2 patients in whom CVC was planned. Catheters were introduced either in neutral shoulder position or the shoulder was lowered during venipuncture and guide wire insertion. A post-operative chest X-ray was done to note any complications and catheter tip malposition. Results: Demographic data was comparable between the two groups with respect to age, gender and weight. (P > 0.05). In one case in Group A and two cases in Group B there was failure to puncture the vein but this was statistically insignificant (P = 0.554). Failure to thread the guidewire was seen in one case in each group with no statistical significance (P > 0.05) Statistical difference was noted in successful placement of CVC tip between the two shoulder position (P = 0.025). Conclusion: The neutral shoulder position reduced the incidence of catheter misplacements during infraclavicular approach of right subclavian vein catheterization as compared to lowered shoulder position.
Page(s):
393-397
DOI:
DOI not available
Published:
Journal: Anaesthesia, Pain and Intensive Care, Volume: 20, Issue: 4, Year: 2016
Keywords:
Subclavian Vein
,
Patient Positioning
,
Catheters
,
Central Venous Catheterization
,
Central Venous Catheters
References:
References are not available for this document.
Citations
Citations are not available for this document.