A new Infraclavicular Landmark-Based Approach to the Axillary Vein as an Alternative Method of Central Venous Cannulation

6533b870fe1ef96bd12cf280

RESEARCH PRODUCT

A new Infraclavicular Landmark-Based Approach to the Axillary Vein as an Alternative Method of Central Venous Cannulation

Jakub Nowotarski Rafał Weron Tomasz Czarnik Ryszard Gawda

subject

Adult Male Catheterization Central Venous medicine.medical_specialty Time Factors Treatment outcome Punctures 030204 cardiovascular system & hematology Catheterization Young Adult 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Risk Factors Intensive care Catheterization Peripheral medicine Central Venous Catheters Humans Prospective Studies Prospective cohort study Aged Aged 80 and over Alternative methods Landmark business.industry Axillary vein 030208 emergency & critical care medicine Middle Aged Surgery Treatment Outcome Nephrology Intensive care Female Surgery Clinical Competence Radiology Anatomic Landmarks Clinical competence business Axillary vein Learning Curve Venous cannulation

description

Purpose: We developed the new technique of the axillary vein catheterization, which is connected with the determination of only two anatomical points of reference for puncture site identification. The primary outcome of this study was to determine the rate of successful catheterizations and the assessment of procedure success rate, depending on cannulation side as well as physician experience. The secondary objective was to evaluate the early complication rate and to determine whether this method can be used in clinical practice. Methods: The methodology of this prospective, cohort study included catheterization of the axillary vein via the infraclavicular approach. All procedures were performed by the first two authors, each of whom had different levels of experience with the technique. The choice of the cannulation side was based on clinical factors, and the technique was identical on the right and left sides. Results: The cannulation success rate reached 85.6% (N = 153). The correlation between physician experience and the procedure success rate as well as between cannulation side and procedure success rate were not significant. A common early complication was a puncture of axillary artery (14.4%) with the following proper cannulation in the majority of patients (77.3%, p

year	journal	country	edition	language
2016-05-01	The Journal of Vascular Access

https://doi.org/10.5301/jva.5000504