October 28, 2023Pakistan Journal of Medical & Health Sciences

Comparison of Safety between Subclavian and Internal Jugular Central Venous Catheterization in patients admitted to the Medical ICU. A Randomized Controlled Trial

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Authors

AAAmbreen AsifLahore General Hospital SSSabira SharifEar Medical Group KAKashif Aziz AhmadLahore General Hospital

Discussion

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Implication

Randomized controlled trial compares complications of subclavian and internal jugular central venous catheterization in critically ill adults, suggesting important outcomes for site selection.

Key Points

Subclavian catheterization resulted in lower catheter-related bloodstream infections at 4% compared to 14% for internal jugular placement, indicating a significant safety advantage.
Pneumothorax occurred in 3 patients (6%) from the subclavian group, while none were reported in the internal jugular group, showing a potential risk.
This randomized controlled trial was conducted in Lahore General Hospital, using ultrasound guidance for both catheterization techniques during a four-month period.
Results highlight that although both techniques are generally safe, the subclavian approach offers lower infection rates but carries a higher risk of pneumothorax.

Cite This Study

Asif et al. (2023) studied this question.

synapsesocial.com/papers/68af65a1ad7bf08b1eae5d11 https://doi.org/10.53350/pjmhs20231710279

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Implication

Randomized controlled trial compares complications of subclavian and internal jugular central venous catheterization in critically ill adults, suggesting important outcomes for site selection.

Comparison of Safety between Subclavian and Internal Jugular Central Venous Catheterization in patients admitted to the Medical ICU. A Randomized Controlled Trial

Discussion

Member takes

Implication

Key Points

Cite This Study

Comparison of Safety between Subclavian and Internal Jugular Central Venous Catheterization in patients admitted to the Medical ICU. A Randomized Controlled Trial

Discussion

Member takes

Implication

Key Points

Cite This Study

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