Pediatric anesthesia & critical care
Comparison of the Ultrasound-Guided Supraclavicular and Infraclavicular Approaches for Subclavian Vein Cannulation in Children With Congenital Heart Disease
Authors' conclusion
The supraclavicular approach, especially the left side, has a higher first-puncture success rate, shorter access time, lower complications, and a trend of lower incidence of catheter malposition.
Study context
- Population
- Preoperative children with congenital heart disease in cardiac ICU requiring subclavian vein catheterization
- Participants
- 67 children
- Comparison
- Group A vs Group B
- Group An = 32
- Group Bn = 35reference
Methodological detailsPediatric cardiac ICUs of a medical university hospital
- Pediatric cardiac ICUs of a medical university hospital
Primary result
As reported in the abstract
First-puncture success rate
A
90.6%
B
71.4, %
P = 0.047
Further findings
Access time
P = 0.001
Total access time, overall success rate
- No significant differences between the 2 groups
Safety
Catheter malposition
P = 0.049
Complications (eg, pneumothorax, hemorrhage, puncture artery, nerve injury)
- No significant differences between the 2 groups
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Comparison of the Ultrasound-Guided Supraclavicular and Infraclavicular Approaches for Subclavian Vein Cannulation in Children With Congenital Heart Disease. J Cardiothorac Vasc Anesth. Published 24 March 2024. doi:10.
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