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[Central venous catheterization: complications of different placements]
F Iovino1, M Pittiruti, M Buononato
1III Divisione di Chirurgia Generale e Oncologica, Seconda Università degli Studi di Napoli, Piazza Miraglia 2, 80122 Napoli, Italie. fr_iovino@hotmail.com
Annales De Chirurgie
|January 24, 2002
Summary
The low lateral approach for central venous catheter insertion in the internal jugular vein offers a high success rate with fewer complications compared to other methods. This technique is recommended for both adult and pediatric patients.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Critical Care Medicine
Background:
- Central venous catheter (CVC) insertion is a common procedure with potential complications.
- Different anatomical approaches exist for CVC placement, each with varying risk profiles.
Purpose of the Study:
- To compare complications associated with different central venous catheter insertion techniques.
- To evaluate the benefits of the low lateral approach to the internal jugular vein.
Main Methods:
- Prospective analysis of 2,290 central venous catheter insertions over five years.
- Complications meticulously recorded included pneumothorax, arterial puncture, and catheter malposition.
Main Results:
- The low lateral internal jugular vein approach yielded 0% pneumothorax and 1% arterial puncture rates.
- Compared to other methods, this technique showed significantly lower rates of pneumothorax, arterial puncture, and multiple vein punctures.
Conclusions:
- The low lateral approach to the internal jugular vein is advocated as a preferred technique for central venous access.
- This method demonstrates a high success rate and a low complication profile in both pediatric and adult patients.