AI Article Synopsis
- - Central venous catheterization is crucial for patients needing quick treatment, ongoing fluid management, and monitoring; the supraclavicular (SC) and infraclavicular (IC) methods are common techniques with their own pros and cons.
- - A systematic review analyzed 1040 articles, resulting in 28 studies that focused on the success and complications of the SC technique, revealing a success rate between 79% and 100% and a complication rate averaging around 4.27%.
- - The SC approach, having a lower access time and higher success rate compared to IC, should be more frequently utilized, and further research on using ultrasound guidance for SC catheterization is recommended.
Article Abstract
Central venous catheterization plays a key role in patients that require immediate resuscitation, long-term fluid management, and invasive monitoring. The supraclavicular (SC) and infraclavicular (IC) approaches are utilized for central venous catheterization and both have their benefits and limitations. In this systematic review, we aim to explore the success rate and various complications of the SC technique. A literature review was conducted on the PubMed, EMBASE, Scopus, CINAHL, and Cochrane databases. All relevant original articles that evaluated success rates and complications of SC access were retrieved and included for qualitative synthesis. After screening 1040 articles, 28 studies were included for further analysis. The overall success rate of SC access ranged between 79% and 100%. The overall complication rate in SC access ranged between 0% and 24.24% (Mean: 4.27%). The most prevalent complication was arterial puncture (1.39%) followed by catheter malposition (0.42%). The SC approach can be used as an alternative to the IC technique because of its low access time and high success rate. The SC approach should be more commonly used in day-to-day central venous cannulation. Further studies on the role of ultrasound guidance are warranted for the SC approach.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9063609 | PMC |
| http://dx.doi.org/10.7759/cureus.23781 | DOI Listing |
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