Regional anesthesia

Comparison of Catheter Malposition Between Left and Right Ultrasound-Guided Infraclavicular Subclavian Venous Catheterizations: A Randomized Controlled Trial*

Crit Care MedPublished Randomised controlled trial

Authors' conclusion

These findings strengthen the rationale for choosing the left access over the right access for ultrasound-guided infraclavicular SVC.

Study context

Population
Patients 20–79 years old scheduled for subclavian venous catheterization (SVC) under GA, tertiary referral hospital in Korea
Participants
224 vs 225
Comparison
Left vs right ultrasound-guided infraclavicular SVC
  • Left SVCn = 224
  • Right SVCn = 225reference
Primary endpoint
Overall catheter malposition rate
Methodological detailsparallel-armed, single-centre
  • Parallel-armed
  • Single-centre

Primary result

As reported in the abstract

Overall catheter malposition

P = 0.001

Secondary outcomes

Malposition into ipsilateral internal jugular vein

P = 0.007

Success on first pass

P = 0.020

Success on first catheterization attempt

P = 0.020

Time for vein visualization · longer in left SVC

P < 0.001

Total catheterization time · longer in left SVC

P = 0.034

Other catheterization performance

No significant differences between the two groups

Safety

Other catheterization-related complications

No significant differences between the two groups

Original publication

Comparison of Catheter Malposition Between Left and Right Ultrasound-Guided Infraclavicular Subclavian Venous Catheterizations: A Randomized Controlled Trial*. Crit Care Med. Published 24 June 2024. doi:10.1097/ccm.0000000000006368

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.