Cannulation of the proximal subclavian vein using an ultrasound-guided approach
| dc.contributor.author | Caballero, Andrés Fabricio L. | |
| dc.contributor.author | Galarza, Andrés | |
| dc.contributor.author | Barahona, Johana Patricia G. | |
| dc.contributor.author | Erazo, Oscar | |
| dc.contributor.author | Viveros, Jefferson J. | |
| dc.contributor.author | Segura, Alejandro O. | |
| dc.contributor.author | Carreño, Diana Paola M. | |
| dc.date.accessioned | 2025-07-11T15:26:44Z | |
| dc.date.available | 2025-07-11T15:26:44Z | |
| dc.date.issued | 2024 | |
| dc.description.abstract | Introduction: Central venous cannulation is of vital importance for the management of critically ill patients. Objectives: This study sought to compare the safety and effectiveness of proximal subclavian vein cannulation with the ultrasound approach versus the standard anatomical approach. Materials and Methods: Prospective observational cohort study carried out in the intensive care unit (ICU) of the Hospital Universitario del Valle, and in the Fundación Hospital San José, with patients over 18 years of age who required central venous cannulation. To compare the anatomical versus ultrasound-guided approach, chi-square or Fisher’s exact and Mann Whitney U tests were used. A value of p < 0.05 was considered statistically significant. The relative risk (RR) was estimated as a measure of association. Finally, a multivariate binary logistic regression model was fitted. Results: 53 participants were included, with a median age of 60 years. In the anatomical approach group there were 17 participants, while in the ultrasound approach group there were 36. The factor associated with success in the cannulation of the subclavian vein was the approach using the ultrasound-guided method (RR = 1.73 CI 1.09 - 2.74). An image acquisition protocol is proposed that facilitates the success rate on the first attempt. Conclusions: The results obtained show that there is a higher rate of successful cannulation of the proximal subclavian vein on the first attempt when the ultrasound-guided approach is performed. | |
| dc.identifier.citation | Caballero, A. F. L., Galarza, A., Barahona, J. P. G., Viveros, J. J., Segura, A. O., & Carreño, D. P. M. (2024). Cannulation of the proximal subclavian vein using an ultrasound-guided approach. Revista Chilena de Anestesia, 53(6), 628–634. https://doi.org/10.25237/revchilanestv53n6-12 | |
| dc.identifier.issn | 07164076 | |
| dc.identifier.uri | https://repositorio.usc.edu.co/handle/20.500.12421/7391 | |
| dc.language.iso | es | |
| dc.publisher | Sociedad de Anestesiologia de Chile | |
| dc.subject | catheters | |
| dc.subject | hospitalization | |
| dc.subject | intensive care units | |
| dc.subject | Ultrasonics | |
| dc.title | Cannulation of the proximal subclavian vein using an ultrasound-guided approach | |
| dc.type | Article |
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