A prospective study of femoral versus subclavian vein catheterization during cardiac arrest
Femoral vein catheterization has advantages over subclavian vein catheterization during cardiac arrest in that there is minimal interference to ongoing CPR. In addition, risks of subclavian catheterization are not a factor in femoral vein catheterization. Few studies have compared the success rate f...
Gespeichert in:
| Veröffentlicht in: | Annals of emergency medicine 1990-01, Vol.19 (1), p.26-30 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 30 |
|---|---|
| container_issue | 1 |
| container_start_page | 26 |
| container_title | Annals of emergency medicine |
| container_volume | 19 |
| creator | Emerman, Charles L Bellon, Errol M Lukens, Thomas W May, Thomas E Effron, David |
| description | Femoral vein catheterization has advantages over subclavian vein catheterization during cardiac arrest in that there is minimal interference to ongoing CPR. In addition, risks of subclavian catheterization are not a factor in femoral vein catheterization. Few studies have compared the success rate for catheterization of one site with that of the other during cardiac arrest. We conducted a prospective study to compare the success and complication rates for femoral with those of subclavian vein catheterization. Ninety-four patients undergoing CPR had either femoral or subclavian vein catheters placed during the course of the arrest. Catheter placement was verified by injection of radiopaque contrast material. We found that the success rate for femoral catheterization was 77% compared with a success rate of 94% for subclavian vein catheterization (P < .05). There were no instances of pneumothorax with subclavian vein catheterization. There was no apparent learning curve leading to an increased success rate during the course of the study. We conclude that femoral vein catheterization should not be used except in those instances where attempts at peripheral and central venous cannulation are unsuccessful. |
| doi_str_mv | 10.1016/S0196-0644(05)82135-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79589610</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0196064405821353</els_id><sourcerecordid>79589610</sourcerecordid><originalsourceid>FETCH-LOGICAL-c412t-d9723ccc0ec7f6b4b97db01eb2b85a5d6f077b23e9ab4f87eadadeb96f7e55a73</originalsourceid><addsrcrecordid>eNqFkEtLAzEUhYMotVZ_QiEr0cVoMjNJmpWU4gsKLtSVi5DHHY1MZ2oyU6i_3vRBt64u3HvOPZwPoTElN5RQfvtKqOQZ4WV5Rdj1JKcFy4ojNKREiowLTo7R8CA5RWcxfhNCZJnTARrkuRSU0SH6mOJlaOMSbOdXgGPXuzVuK1zBog26xisIsY849sbWeuV1kza-wVZ3X9BB8L-6822DXR9885nWwXltsQ4BYneOTipdR7jYzxF6f7h_mz1l85fH59l0ntmS5l3mpMgLay0BKypuSiOFM4SCyc2EaeZ4RYQweQFSm7KaCNBOOzCSVwIY06IYocvd39Tkp0_BauGjhbrWDbR9VEKyieSUJCHbCW2qHANUahn8Qoe1okRtoKotVLUhpghTW6iqSL7xPqA3C3AH155iut_t7pBarjwEFa2HxoLzIYFVrvX_JPwBFkuJiw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79589610</pqid></control><display><type>article</type><title>A prospective study of femoral versus subclavian vein catheterization during cardiac arrest</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Emerman, Charles L ; Bellon, Errol M ; Lukens, Thomas W ; May, Thomas E ; Effron, David</creator><creatorcontrib>Emerman, Charles L ; Bellon, Errol M ; Lukens, Thomas W ; May, Thomas E ; Effron, David</creatorcontrib><description>Femoral vein catheterization has advantages over subclavian vein catheterization during cardiac arrest in that there is minimal interference to ongoing CPR. In addition, risks of subclavian catheterization are not a factor in femoral vein catheterization. Few studies have compared the success rate for catheterization of one site with that of the other during cardiac arrest. We conducted a prospective study to compare the success and complication rates for femoral with those of subclavian vein catheterization. Ninety-four patients undergoing CPR had either femoral or subclavian vein catheters placed during the course of the arrest. Catheter placement was verified by injection of radiopaque contrast material. We found that the success rate for femoral catheterization was 77% compared with a success rate of 94% for subclavian vein catheterization (P < .05). There were no instances of pneumothorax with subclavian vein catheterization. There was no apparent learning curve leading to an increased success rate during the course of the study. We conclude that femoral vein catheterization should not be used except in those instances where attempts at peripheral and central venous cannulation are unsuccessful.</description><identifier>ISSN: 0196-0644</identifier><identifier>EISSN: 1097-6760</identifier><identifier>DOI: 10.1016/S0196-0644(05)82135-3</identifier><identifier>PMID: 2297151</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; cardiac arrest ; Catheterization, Central Venous - adverse effects ; catheterization, femoral ; Catheterization, Peripheral - adverse effects ; catheterization, subclavian vein ; Female ; Femoral Vein ; Heart Arrest - therapy ; Humans ; Male ; Middle Aged ; Prospective Studies ; Resuscitation ; Subclavian Vein</subject><ispartof>Annals of emergency medicine, 1990-01, Vol.19 (1), p.26-30</ispartof><rights>1990 American College of Emergency Physicians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-d9723ccc0ec7f6b4b97db01eb2b85a5d6f077b23e9ab4f87eadadeb96f7e55a73</citedby><cites>FETCH-LOGICAL-c412t-d9723ccc0ec7f6b4b97db01eb2b85a5d6f077b23e9ab4f87eadadeb96f7e55a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0196-0644(05)82135-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2297151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emerman, Charles L</creatorcontrib><creatorcontrib>Bellon, Errol M</creatorcontrib><creatorcontrib>Lukens, Thomas W</creatorcontrib><creatorcontrib>May, Thomas E</creatorcontrib><creatorcontrib>Effron, David</creatorcontrib><title>A prospective study of femoral versus subclavian vein catheterization during cardiac arrest</title><title>Annals of emergency medicine</title><addtitle>Ann Emerg Med</addtitle><description>Femoral vein catheterization has advantages over subclavian vein catheterization during cardiac arrest in that there is minimal interference to ongoing CPR. In addition, risks of subclavian catheterization are not a factor in femoral vein catheterization. Few studies have compared the success rate for catheterization of one site with that of the other during cardiac arrest. We conducted a prospective study to compare the success and complication rates for femoral with those of subclavian vein catheterization. Ninety-four patients undergoing CPR had either femoral or subclavian vein catheters placed during the course of the arrest. Catheter placement was verified by injection of radiopaque contrast material. We found that the success rate for femoral catheterization was 77% compared with a success rate of 94% for subclavian vein catheterization (P < .05). There were no instances of pneumothorax with subclavian vein catheterization. There was no apparent learning curve leading to an increased success rate during the course of the study. We conclude that femoral vein catheterization should not be used except in those instances where attempts at peripheral and central venous cannulation are unsuccessful.</description><subject>Aged</subject><subject>cardiac arrest</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>catheterization, femoral</subject><subject>Catheterization, Peripheral - adverse effects</subject><subject>catheterization, subclavian vein</subject><subject>Female</subject><subject>Femoral Vein</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Resuscitation</subject><subject>Subclavian Vein</subject><issn>0196-0644</issn><issn>1097-6760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLAzEUhYMotVZ_QiEr0cVoMjNJmpWU4gsKLtSVi5DHHY1MZ2oyU6i_3vRBt64u3HvOPZwPoTElN5RQfvtKqOQZ4WV5Rdj1JKcFy4ojNKREiowLTo7R8CA5RWcxfhNCZJnTARrkuRSU0SH6mOJlaOMSbOdXgGPXuzVuK1zBog26xisIsY849sbWeuV1kza-wVZ3X9BB8L-6822DXR9885nWwXltsQ4BYneOTipdR7jYzxF6f7h_mz1l85fH59l0ntmS5l3mpMgLay0BKypuSiOFM4SCyc2EaeZ4RYQweQFSm7KaCNBOOzCSVwIY06IYocvd39Tkp0_BauGjhbrWDbR9VEKyieSUJCHbCW2qHANUahn8Qoe1okRtoKotVLUhpghTW6iqSL7xPqA3C3AH155iut_t7pBarjwEFa2HxoLzIYFVrvX_JPwBFkuJiw</recordid><startdate>199001</startdate><enddate>199001</enddate><creator>Emerman, Charles L</creator><creator>Bellon, Errol M</creator><creator>Lukens, Thomas W</creator><creator>May, Thomas E</creator><creator>Effron, David</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199001</creationdate><title>A prospective study of femoral versus subclavian vein catheterization during cardiac arrest</title><author>Emerman, Charles L ; Bellon, Errol M ; Lukens, Thomas W ; May, Thomas E ; Effron, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-d9723ccc0ec7f6b4b97db01eb2b85a5d6f077b23e9ab4f87eadadeb96f7e55a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Aged</topic><topic>cardiac arrest</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>catheterization, femoral</topic><topic>Catheterization, Peripheral - adverse effects</topic><topic>catheterization, subclavian vein</topic><topic>Female</topic><topic>Femoral Vein</topic><topic>Heart Arrest - therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Resuscitation</topic><topic>Subclavian Vein</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Emerman, Charles L</creatorcontrib><creatorcontrib>Bellon, Errol M</creatorcontrib><creatorcontrib>Lukens, Thomas W</creatorcontrib><creatorcontrib>May, Thomas E</creatorcontrib><creatorcontrib>Effron, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Emerman, Charles L</au><au>Bellon, Errol M</au><au>Lukens, Thomas W</au><au>May, Thomas E</au><au>Effron, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective study of femoral versus subclavian vein catheterization during cardiac arrest</atitle><jtitle>Annals of emergency medicine</jtitle><addtitle>Ann Emerg Med</addtitle><date>1990-01</date><risdate>1990</risdate><volume>19</volume><issue>1</issue><spage>26</spage><epage>30</epage><pages>26-30</pages><issn>0196-0644</issn><eissn>1097-6760</eissn><abstract>Femoral vein catheterization has advantages over subclavian vein catheterization during cardiac arrest in that there is minimal interference to ongoing CPR. In addition, risks of subclavian catheterization are not a factor in femoral vein catheterization. Few studies have compared the success rate for catheterization of one site with that of the other during cardiac arrest. We conducted a prospective study to compare the success and complication rates for femoral with those of subclavian vein catheterization. Ninety-four patients undergoing CPR had either femoral or subclavian vein catheters placed during the course of the arrest. Catheter placement was verified by injection of radiopaque contrast material. We found that the success rate for femoral catheterization was 77% compared with a success rate of 94% for subclavian vein catheterization (P < .05). There were no instances of pneumothorax with subclavian vein catheterization. There was no apparent learning curve leading to an increased success rate during the course of the study. We conclude that femoral vein catheterization should not be used except in those instances where attempts at peripheral and central venous cannulation are unsuccessful.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>2297151</pmid><doi>10.1016/S0196-0644(05)82135-3</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0196-0644 |
| ispartof | Annals of emergency medicine, 1990-01, Vol.19 (1), p.26-30 |
| issn | 0196-0644 1097-6760 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79589610 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged cardiac arrest Catheterization, Central Venous - adverse effects catheterization, femoral Catheterization, Peripheral - adverse effects catheterization, subclavian vein Female Femoral Vein Heart Arrest - therapy Humans Male Middle Aged Prospective Studies Resuscitation Subclavian Vein |
| title | A prospective study of femoral versus subclavian vein catheterization during cardiac arrest |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T03%3A58%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20prospective%20study%20of%20femoral%20versus%20subclavian%20vein%20catheterization%20during%20cardiac%20arrest&rft.jtitle=Annals%20of%20emergency%20medicine&rft.au=Emerman,%20Charles%20L&rft.date=1990-01&rft.volume=19&rft.issue=1&rft.spage=26&rft.epage=30&rft.pages=26-30&rft.issn=0196-0644&rft.eissn=1097-6760&rft_id=info:doi/10.1016/S0196-0644(05)82135-3&rft_dat=%3Cproquest_cross%3E79589610%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=79589610&rft_id=info:pmid/2297151&rft_els_id=S0196064405821353&rfr_iscdi=true |