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Supraclavicular central venous catheterization.

B F Helmkamp, S R Sanko

    American Journal of Obstetrics and Gynecology
    |December 1, 1985
    PubMed
    Summary
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    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.

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  • 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.