Comparision of subclavian vein catheter insertion by two method (supra and infra clavicular) in patients admitted to intensive care unit

Message:
Abstract:
Background
Central venous catheter insertion in the most of critically ill patients is needed. Central venous catheter insertion complications including infectious and mechanical complications. Which can be divided into two categories , early or delayed. Several studies have been done in this regard. In this study we compare two approach (supra &infraclavicular) of subclavian catheter insertion in patients admitted to the General intensive care unit of Urmia emam hospital .
Materials And Methods
After approval of the Ethics Committee of the Urmia university of medical sciences this study conducted in the General intensive care unit of Urmia emam Hospital in second half of 1394, And 260 patients randomly into two groups of 130 patients were enrolled.
Demographic: characteristics (age, gender), the success, the number of attempts for central venous catheter insertion, central venous catheters complications included pneumothorax, cutaneous infection, hematoma, thrombosis, catheter infection in special forms made by researchers arrived and after completion of the study the data were analyzed. Statistical tests and SPSS statistical software version 20 used for this purpose.
Results
The mean age of patients was 16.72 ± 65.23 totally. 56.53% of patients were male and the rest were female. The mean age and sex distribution of patients in both groups there was no significant difference (P> 0.05). The mean frequency of pneumothorax and trying to CVC placement between two groups was statistically significant (P 0.05)
Conclusion
The number of attempts and pneumothorax during infra clavicular approach of subclavian catheter insertion was lower than that of infra clavicular method. There was no statistically significant difference between other complications .
Language:
Persian
Published:
Iranian Journal Of Anaesthesiology and Critical Care, Volume:38 Issue: 2, 2016
Pages:
29 to 35
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