Subclavian Catheterization Procedure Performed by In-plane Technique Guided by Ultrasonography

Abstract

Objective: Central venous catheterization (CVC) is one of the most commonly performed interventional procedures in intensive care unit (ICU) patients. According to guidelines, it is recommended as the first choice because it is better tolerated by patients, and the infection rate is lower compared to other areas of CVC placement.. However, complications such as pneumothorax, arterial puncture, nerve injury and bleeding may be relatively higher. For these reasons, it has become increasingly common to perform subclavian CVC applications with ultrasonography (USG) to minimize the risks in recent years. Our study aimed to evaluate 53 patients who underwent subclavian CVC with the in-plane technique accompanied by USG. Method: In this study, the system records of 53 patients with CVC indication, who were hospitalized in the ICU between January 1, 2020, and April 1, 2021, were reviewed retrospectively and subclavian CVC procedures performed using the USG-guided in-plane technique were analyzed. Results: A total of 53 patients (25 women (47.2%), 28 men (52.8%)) with CVC indication followed in the ICU underwent subclavian CVC with the in-plane technique under USG guidance. The mean age of the patients was 69.98±11.29 years. The mean BMI of the patients was found to be 26,10 kg/m2. Of the 53 patients evaluated, 28 had chronic obstructive pulmonary disease (COPD), 5 had lung malignant neoplasm, 16 had pneumonia, 2 had acute renal failure, and 2 required ICU follow-up after cardiopulmonary resuscitation.. Catheter malposition and other complications were not observed in any of the patients. Conclusion: Subclavian catheterization applied with an in-plane technique guided by USG is a method that experienced practitioners can safely apply.