Neuroanaesthesia & neurocritical care
Effects of ultrasound‐guided ipsilateral internal jugular vein compression on catheter malposition during ultrasound‐guided right infraclavicular subclavian venous catheterisation: a randomised controlled trial
Authors' conclusion
Ultrasound-guided ipsilateral IJV compression during guidewire advancement can be an effective intervention to prevent catheter malposition during ultrasound-guided right infraclavicular subclavian venous catheterisation.
Study context
- Population
- Adults undergoing elective neurosurgery requiring US-guided right infraclavicular subclavian venous catheterisation
- Participants
- 157 vs 158
- Comparison
- Internal jugular vein (IJV) compression vs Control
- IJV compressionn = 157
- Controln = 158reference
- Primary endpoint
- Incidence of overall catheter malposition
Primary result
As reported in the abstract
Each group vs controlDifference in proportions, % (95% CI)
IJV compression
−6.9(−13.3% to −0.6%)
Each group vs controlOdds ratio (95% CI)P value
IJV compression
0.42(0.18–0.95)
P = 0.034Secondary outcomes
Catheterisation time
P < 0.001
Other secondary outcomes (other catheterisation-related complications, performance indices)
- Other between-group differences not significant
Correction of malposition into ipsilateral IJV
- All corrected by guidewire reinsertion under US-guided IJV compression with maximal force
Original publication
Effects of ultrasound‐guided ipsilateral internal jugular vein compression on catheter malposition during ultrasound‐guided right infraclavicular subclavian venous catheterisation: a randomised controlled trial. Anaesthesia. Published 24 September 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →