Influence of the Shoulder Position on the Catheter Tip Location During Infraclavicular Subclavian Approach

Seoul National University Hospital344 enrolled

Overview

Infraclavicular approach of the subclavian veins is commonly used for central venous access. Aberrant locations of catheter tip are frequently quoted for this approach, but few studies have been performed to document the relationship between the shoulder position and catheter tip location. This prospective study was performed to assess the influence of the shoulder position on the safe and proper placement of infraclavicular subclavian catheters.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

344

Conditions

Catheter Tip Location

Interventions

neutral shoulder positionPROCEDURE

neutral shoulder position during infraclavicular subclavian catheterization

lowered shoulder positionPROCEDURE

lowered shoulder position during infraclavicular subclavian catheterization

Eligibility

Sex: ALLMin age: 19 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * adult patients requiring central venous catheterization due to major procedures such as neurosurgery or thoracic surgery. Exclusion Criteria: * chest deformities, * coagulopathy, * diaphragmatic dysfunction, * pulmonary malformation, * history of prior clavicle fracture, or * infection over the puncture site.

Locations (1)

Seoul National University Hospital

Seoul, Seoul, South Korea

Outcomes

Primary Outcomes

location of the catheter tip

Time frame: at the end of surgery

Secondary Outcomes

catheterization success rate

Time frame: immediately after catheterization

Data from ClinicalTrials.gov

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