Experience with multiple and simultaneous subclavian vein cannulations: safety and versatility

Area of Science:

• Vascular Access
• Critical Care Medicine
• Interventional Cardiology

Background:

• Central venous access is vital for managing critically ill patients.
• Percutaneous subclavian vein catheterization is a common method for central venous access.
• Critically ill patients often require multiple interventions necessitating reliable access.

Purpose of the Study:

• To evaluate the utilization and outcomes of concurrent subclavian line placements in critically ill patients.
• To assess the feasibility and safety of multiple central venous catheterizations in an intensive care unit (ICU) setting.

Main Methods:

• Retrospective review of 60 patients undergoing concurrent subclavian line placement over a 5-year period (1979-1984).
• Lines were placed for various indications including fluid administration, hyperalimentation, hemodynamic monitoring, cardiac pacing, and hemodialysis.
• Data collected on ease of use, versatility, and patient morbidity.

Main Results:

• Concurrent placement of multiple subclavian lines was feasible in critically ill patients.
• The procedure demonstrated ease of applicability and versatility for diverse therapeutic and diagnostic needs.
• Low morbidity associated with the placement of these lines was observed.

Conclusions:

• Percutaneous subclavian vein catheterization is a valuable technique for establishing central venous access in critically ill patients.
• The concurrent use of multiple subclavian lines is a safe and effective strategy for managing complex patient needs in the ICU.
• This approach facilitates essential interventions, contributing to improved patient care.