Cardiothoracic & vascular anesthesia
Ultrasound‐guided supraclavicular cannulation of left brachiocephalic versus right internal jugular vein: Comparative analysis of central venous catheter‐associated complications
Main finding · All complicationsResult — go to the resultOdds ratio 1.16 CI 0.64–2.07Authors' conclusion
Among children undergoing cardiac surgery, there is no significant difference between the supraclavicular approach to the left brachiocephalic vein and the right internal jugular vein regarding complications.
Study context
- Population
- Children receiving central venous catheters for cardiac surgery over a two-year periodcatheters analysed (504 identified)
- Participants
- 480 children
- Exposure
- Left brachiocephalic vein vs Right internal jugular vein
- Outcome
- Frequency of central venous catheter-associated complications (chylothorax, deep vein thrombosis, sepsis, or delayed chest closure)
Methodological detailssingle-centre, tertiary care university hospital
- Single-centre
- Tertiary care university hospital
Main finding
All complications
Odds ratio
1.16
CI 0.64–2.07
By group
Left brachiocephalic vein vs Right internal jugular vein
OR 1.16 (CI 0.64–2.07)
As reported in the abstract
- Overall complications, all catheters
- 68/480 (14.2%)
Observational data: associations, not effects.
Secondary outcomes
Deviation from optimal insertion depth (height-based formula) · spread printed as ±; kind not named
Safety
| Outcome | Left brachiocephalic vein | Right internal jugular vein | OR (CI) | |
|---|---|---|---|---|
| Chylothorax | 7.7% | 8.6% | 0.89 (0.39–1.91) | |
| Thrombosis | 5.6% | 4.5% | 1.28 (0.46–3.31) | |
| 0.20.5125Odds ratio (log scale) |
Original publication
Ultrasound‐guided supraclavicular cannulation of left brachiocephalic versus right internal jugular vein: Comparative analysis of central venous catheter‐associated complications. Paediatr Anaesth. Published 18 November 2022. doi:10.
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