Complications and Failures of Subclavian-Vein Catheterization

To the Editor: Mansfield et al. (Dec. 29 issue) 1 found that ultrasound-guided location of the subclavian vein was not beneficial, as compared with standard insertion procedures for subclavian-vein catheterization. The authors used ultrasound only to mark the site of insertion and did not study real...

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Veröffentlicht in:The New England journal of medicine 1995-06, Vol.332 (23), p.1579-1581
Hauptverfasser: Jobes, David R, Ellison, Norig, Troianos, Christopher A, Weber, Martin, Huber, Christoph, Oates, A, Hajela, V, Channer, K.S, Kaufman, Jeffrey L, Eynon, C.A, Johnson, James R, Mansfield, Paul F, Gregurich, Mary Ann, Haire, William D
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container_end_page 1581
container_issue 23
container_start_page 1579
container_title The New England journal of medicine
container_volume 332
creator Jobes, David R
Ellison, Norig
Troianos, Christopher A
Weber, Martin
Huber, Christoph
Oates, A
Hajela, V
Channer, K.S
Kaufman, Jeffrey L
Eynon, C.A
Johnson, James R
Mansfield, Paul F
Gregurich, Mary Ann
Haire, William D
description To the Editor: Mansfield et al. (Dec. 29 issue) 1 found that ultrasound-guided location of the subclavian vein was not beneficial, as compared with standard insertion procedures for subclavian-vein catheterization. The authors used ultrasound only to mark the site of insertion and did not study real-time ultrasound guidance of catheter placement. We believe that real-time ultrasound guidance might have been beneficial because of the favorable findings of another study 2 and the reported success with ultrasound guidance of internal jugular-vein catheterization. 3 – 5 A simple mark on the skin does not indicate the axis that will engage the vessel. The deeper the structure, . . .
doi_str_mv 10.1056/NEJM199506083322313
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source MEDLINE; New England Journal of Medicine Current; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland
subjects Catheterization, Central Venous - adverse effects
Humans
Subclavian Vein - diagnostic imaging
Treatment Failure
Ultrasonography
title Complications and Failures of Subclavian-Vein Catheterization
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