Abstract
PURPOSE: This study is designed to compare the success rate of needle subclavian punching from the internal jugular vein and the complications of the supraclavicular approach. Central venous catheter subclavian (Supraclavicular or infraclavicular) internal jugular or femoral can be made from each of the advantages and disadvantages.
Place and Duration: The study was conducted in mayo Hospital Lahore, cardiology Department for 1-year period from July 2016 to July 2017.
Methods: Approximately one hundred and twenty consecutive patients, 6 in each group, required central venous catheterization. Alternate patient internal juguler (IJ) and subclavian (SC) were placed in groups. In both groups, strength and catheter malposition in catheter flexion, arterial puncture pneumothorax, complications such as tooth and successful procedure were compared according to frequency in three interventions.
RESULTS: The IJ (21 males and 42 females) had an average age of 41.77 + 15.05 years and the SC group (17 males and 46 females) had a mean age of 38.67 + 17.14 years. The procedure was successful in 53 (84.1%) patients in the SC group and IJ 55 (87.3%) in the patients. The difficulty of creating a catheter abnormal position sequence and catheter circulation produces an almost similar frequency in both groups. procedure was complicated by arterial puncture in five (7.93%) patients and 3 IJ (4.76%) patients in the SC group. Pneumothorax group IJ 2 (3.33%) occurred in the patient and 1 (1.59%) in the SC group. Both groups were similar according to all these findings.
Conclusion: The success rate of supraclavicular subclavian approach is similar to that of internal juguler venous puncture for perforation and central venous catheterization complications.