Key result
Using the right supraclavicular fossa ultrasound view during right subclavian vein catheterisation resulted in a catheter misplacement incidence of 2.9% (95% CI 0.6-8.3%).
Why the study?
Central venous catheter misplacement is common after right subclavian vein catheterisation, prompting evaluation of the right supraclavicular fossa ultrasound view to aid guidewire positioning and reduce misplacements.
Does the right supraclavicular fossa ultrasound view reduce central venous catheter misplacements in adult patients undergoing right infraclavicular subclavian vein catheterisation?
Population
103 adult patients undergoing right subclavian vein catheterisation
Comparison
Right supraclavicular fossa ultrasound view for guidewire positioning and correction
Design
Prospective observational study
Authors
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Does not support routine adoption; leaves open benefit of supraclavicular ultrasound view in randomized trials.
Observational (n=103)
Does the right supraclavicular fossa ultrasound view reduce central venous catheter misplacements in adult patients undergoing right infraclavicular subclavian vein catheterisation?
The right supraclavicular fossa ultrasound view is useful for real-time confirmation and correction of guidewire position during right subclavian vein catheterisation, achieving a low misplacement rate of 2.9%.
Adrian et al. (2021) conducted an observational in Right subclavian vein catheterisation (n=103). Right supraclavicular fossa ultrasound view was evaluated on Central venous catheter misplacements (95% CI 0.6-8.3). Using the right supraclavicular fossa ultrasound view during right subclavian vein catheterisation resulted in a catheter misplacement incidence of 2.9% (95% CI 0.6-8.3%).
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