Document Detail


Is the landmark technique safe for the insertion of subclavian venous lines?
MedLine Citation:
PMID:  16121775     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The complications of central venous line insertion have been highlighted by the recent NICE report advising that ultrasound guidance should be used for central line insertion. METHODS: We report a prospective audit of the complications of subclavian vein central venous line insertion for parenteral nutrition over a five-year period when ultrasound guidance was not used. RESULTS: In total, 201 lines were inserted for parenteral nutrition into a subclavian vein. A single consultant surgeon inserted 120 of the lines and year five or six surgical registrars performed the other line insertions. Five pneumothoraces occurred in four patients who had subclavian lines inserted and a chest drain was required in three cases. Four line tips were found to be going upwards rather than into the superior vena cava. Misplacement was more common with right subclavian insertion. Inability to site the line at that attempt was associated with previous line insertion in four of six patients. CONCLUSION: A low complication rate can be achieved for central line insertion for parenteral nutrition. It is likely that this is due to the small number of experienced operators.
Authors:
J E M Crozier; R F McKee
Related Documents :
10758465 - Cardiovascular responses to pulmonary artery catheterization.
21534205 - Primary brain tumors associated with cerebral aneurysm: report of three cases.
3783835 - Central venous septic thrombosis managed by superior vena cava greenfield filter and ve...
17625965 - The stuck central venous catheter: a word of caution.
15793625 - Late aortic root dilatation in tetralogy of fallot may be prevented by early repair in ...
18054685 - Cerebrospinal fluid analysis in the diagnosis and treatment of arterial ischemic stroke.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland     Volume:  3     ISSN:  1479-666X     ISO Abbreviation:  Surgeon     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-26     Completed Date:  2005-09-22     Revised Date:  2006-08-01    
Medline Journal Info:
Nlm Unique ID:  101168329     Medline TA:  Surgeon     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  277-9, 305     Citation Subset:  IM    
Affiliation:
University Department of Surgery, Glasgow Royal Infirmary, Glasgow, Scotland. joey@clinmed.gla.ac.uk
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous / methods*
Humans
Parenteral Nutrition / instrumentation
Postoperative Complications / etiology
Prospective Studies
Subclavian Vein*
Comments/Corrections
Comment In:
Surgeon. 2006 Jun;4(3):188; author reply 188   [PMID:  16764211 ]
Surgeon. 2006 Jun;4(3):188; author reply 188   [PMID:  16764212 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A comparative study of fine needle aspiration cytology versus non-aspiration technique in thyroid le...
Next Document:  Could sequential individual peer reviewed mortality audit data be used in appraisal?