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[Central venous catheterization via the axillary vein]
E Klinowski1, Y Leonov, G Lewinsohn
1General Intensive Care Unit, Assaf Harofeh Medical Center, Zerifin.
Harefuah
|April 1, 1992
Summary
The axillary vein is a safe and effective alternative for central venous catheterization in intensive care units. This method offers a reliable approach with minimal complications, particularly for ventilated patients.
Area of Science:
- Vascular Access
- Critical Care Medicine
- Interventional Procedures
Context:
- Central venous catheterization is a frequent necessity in intensive care units (ICUs).
- Commonly accessed vessels include the arm, jugular, subclavian, and femoral veins.
- Alternative access sites are continually explored to improve patient safety and procedural success.
Purpose:
- To evaluate the suitability of the axillary vein as a central venous access site.
- To assess the safety, reliability, and complication rate of axillary vein catheterization.
- To determine the efficacy of this approach, especially in mechanically ventilated or tracheotomized patients.
Summary:
- The axillary vein was identified as a suitable vessel for central venous catheterization.
- Experience with 80 patients demonstrated a 90% success rate.
- The procedure was found to be safe and reliable, with a low incidence of complications.
Impact:
- The axillary vein offers a valuable alternative for central venous access, potentially reducing risks associated with other sites.
- This technique is particularly beneficial for critically ill patients requiring mechanical ventilation or tracheostomy.
- Findings support the broader adoption of axillary vein catheterization in intensive care settings.