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