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Supraclavicular central venous catheterization
American Journal of Obstetrics and Gynecology
|December 1, 1985
Summary
The supraclavicular approach for central venous catheterization in gynecologic patients demonstrated a 91% success rate with acceptable complications. This method offers advantages like a direct route and less pain, making it a preferred technique.
Area of Science:
- Vascular Access Procedures
- Gynecologic Surgery
Background:
- Percutaneous central venous catheterization is vital for cardiac monitoring, parenteral nutrition, and drug delivery.
- The supraclavicular approach is an alternative insertion site for central venous catheters.
Purpose of the Study:
- To evaluate the supraclavicular approach for percutaneous central venous catheterization in gynecologic patients.
- To assess insertion ease, complication rates, and patient compliance.
Main Methods:
- Ninety catheterizations were performed using the supraclavicular approach in 81 gynecologic patients.
- Detailed discussion of anatomic considerations, insertion technique, and rationale.
Main Results:
- A successful catheterization rate of 91% was achieved.
- Acceptable morbidity was observed, with three instances each of pneumothorax, catheter malposition, and infection.
Conclusions:
- The supraclavicular approach offers advantages including a wider target area, direct superior vena cava access, and reduced insertion pain.
- Reliable landmarks, ease of insertion, and a low complication rate support its preference for central venous catheterization.