ICU sedation, delirium & recovery
Ultrasound-Guided Infraclavicular Axillary Vein Versus Internal Jugular Vein Cannulation in Critically Ill Mechanically Ventilated Patients: A Randomized Trial
Authors' conclusion
No difference was found between the real-time ultrasound-guided out-of-plane cannulation of the IJV and the infraclavicular real-time ultrasound-guided in-plane cannulation of the AXV.
Study context
- Population
- Mechanically ventilated ICU patients with clinical indications for central venous line placement, Poland
- Participants
- 306 vs 304
- Comparison
- US-guided in-plane infraclavicular axillary vein (AXV) vs out-of-plane internal jugular vein (IJV) cannulation
- AXVn = 306
- IJVn = 304reference
- Primary endpoint
- Venipuncture and catheterization success rates
Methodological detailsprospective, single-blinded, open label, parallel-group, 2 university-affiliated ICUs, All catheterizations by advanced residents and consultants in anesthesiology and intensive care
- Prospective
- Single-blinded
- Open label
- Parallel-group
- 2 university-affiliated ICUs
- All catheterizations by advanced residents and consultants in anesthesiology and intensive care
Primary result
As reported in the abstract
Venipuncture (puncture) success rate
P = 0.19
Secondary outcomes
Catheterization success rate (co-primary) · chi-square
P = 0.11
Catheter tip malposition · chi-square
P = 0.67
Safety
Early mechanical complications · chi-square
P = 0.79
Common carotid artery puncture IJV 4
Perivascular hematoma IJV 2 · AXV 4
Vertebral artery puncture IJV 1
Pneumothorax IJV 1
Axillary artery puncture AXV 4
Original publication
Ultrasound-Guided Infraclavicular Axillary Vein Versus Internal Jugular Vein Cannulation in Critically Ill Mechanically Ventilated Patients: A Randomized Trial. Crit Care Med. Published 7 December 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →