For performing subclavian venous catheterization, two approaches (supraclavicular and infraclavicular) have been used successfully in various clinical practice. However, there remains controversy concerning which approach is safer and causes less complications during ultrasonography-guided subclavian venous catheterization. In this context, the investigators sought to compare supraclavicular approach with infraclavicular approach in terms of post-procedural complications during ultrasonography-guided subclavian venous catheterization.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
416
In the supraclavicular group, subclavian venous catheterization using ultrasonography is performed beneath the clavicle. Meanwhile, in the infraclavicular group, subclavian venous catheterization using ultrasonography is performed over the clavicle.
Seoul National University Hospital
Seoul, South Korea
the overall incidence of complications
The overall incidence of complications will be expressed as the sum of incidences of complications which occurred during subclavian venous catheterization including arterial puncture, hematoma formation, pneumothorax, hemothorax, and malposition of catheter. Arterial puncture, hematoma formation, and malposition of catheter will be evaluated with ultrasonography, and pneumothorax and hemothorax will be evaluated by chest radiography.
Time frame: intraoperatively to 1 hour after the admission of ICU
the first-pass success rate
The first-pass success was defined as successful catheterization on a single attempt in all stages of catheterization.
Time frame: intraoperatively
the number of needling for venipuncture
The number of needling for venipuncture was defined as the amount of needling for successful subclavian venous puncture.
Time frame: intraoperatively
Total time for venipuncture
Total time for venipuncture was defined as the amount of time which took for successful subclavian venous puncture.
Time frame: intraoperatively
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