AIM: The technique of ultrasound-guided subclavian cannulation was evaluated in our experience assessing the effectiveness of such procedure. METHODS: We have evaluated 297 subclavian cannulation, performed for the jplacement of central venous catheter both with landmark method (176 patients) and ultrasound guded techanical complication of the subclavian vein puncture. RESULTS: A total of 3 mechanical complications were identified. of these, 8 were pneunothorax and 15 arterial puncture. Such case were indentified from the pool of patients who had undergone gubclavan venous cannulatin with landmark method. However these complication occurrd only in difficult venous access and teaching procedure performed with landmark method. DISCUSSION: An ultrasound-guided recent technique for the placemednt of entral vernous access should by addoped since such technuque seems to reduce the incidence of failure and mechanical complications. However it is worth notice that the clinical effect of using ultrasound guidance technique seems to be more significant when the internal jugular vien rather than the subclavian vein is cnnulated. CONCLUSION: Our expericence demonstrate that, both in no difficult case and dedico-lagal grounds, However the ultrasound guided technique is necessarily required to accbieve the reduction of complications in difficult vernous access.
|Number of pages||4|
|Journal||Annali Italiani di Chirurgia|
|Publication status||Published - Sep 2010|
- Venous access
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