Pediatric anesthesia & critical care
An Innovative Method to Prevent Guidewire Access to the Ipsilateral Internal Jugular Vein During Pediatric Subclavian Vein Cannulation
Authors' conclusion
Temporary pressure at the IJV just above the clavicle to occlude the IJV during placement of the guidewire helps prevent inadvertent placement of the guidewire into the IJV.
Study context
- Population
- Children undergoing subclavian vein catheterization
- Participants
- 178 children
- Comparison
- I vs C
- In = 82
- Cn = 96reference
- Primary endpoint
- Incidence of guidewire misplacement into the IJV
- Follow-up
- First placement
Methodological detailssingle-centre
- Single-centre
Primary result
As reported in the abstract
P = 0.04
Secondary outcomes
Total time of guidewire placement
P = 0.03
| Outcome | C | I | P value |
|---|---|---|---|
| Total number of guidewires entering the IJV | 24/96 | 7/82 | P = 0.005 |
Original publication
An Innovative Method to Prevent Guidewire Access to the Ipsilateral Internal Jugular Vein During Pediatric Subclavian Vein Cannulation. J Cardiothorac Vasc Anesth. Published 25 May 2024. doi:10. 1053/ j. jvca. 2024. 05. 029
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