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A prospective randomised trial comparing insertion success rate and incidence of catheterisation-related complications for subclavian venous catheterisation using a thin-walled introducer needle or a catheter-over-needle technique

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Author(s)
E. KimB. G. KimY. J. LimY. T. JeonJ. W. HwangH. C. KimY. H. ChoiH. P. Park
Keimyung Author(s)
Kim, Hyun Chang
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Anaesthesia
Issued Date
2016
Volume
71
Issue
9
Keyword
catheter-over-needle techniquecomplicationsubclavian venous catheterisationsuccess ratethin-walled introducer needle technique
Abstract
In clinical practice, both a thin‐walled introducer needle and catheter‐over‐needle technique can be used to allow insertion of a guidewire during central venous catheterisation using the Seldinger technique. We compared the incidence of catheterisation‐related complications (arterial puncture, haemothorax, pneumothorax, haematoma and catheter tip malposition) and insertion success rate for these two techniques in patients requiring right‐sided subclavian central venous catheterisation. A total of 414 patients requiring infraclavicular subclavian venous catheterisation were randomly allocated to either a thin‐walled introducer needle (needle group, n = 208) or catheter‐over‐needle technique (catheter group, n = 206). The catheterisation‐related complication rate was lower in the needle group compared with the catheter group (5.8% vs. 15.5%; p = 0.001). Overall insertion success rates were similar (97.1% and 92.7% in the needle and catheter groups respectively; p = 0.046), although the first‐pass success rate was higher in the needle group (62.0% vs. 35.4%; p < 0.001). We recommend the use of a thin‐walled introducer needle technique for right‐sided infraclavicular subclavian venous catheterisation.
Keimyung Author(s)(Kor)
김현창
Publisher
School of Medicine
Citation
E. Kim et al. (2016). A prospective randomised trial comparing insertion success rate and incidence of catheterisation-related complications for subclavian venous catheterisation using a thin-walled introducer needle or a catheter-over-needle technique. Anaesthesia, 71(9), 1030–1036. doi: 10.1111/anae.13543
Type
Article
ISSN
1365-2044
DOI
10.1111/anae.13543
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32345
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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