Cardiothoracic and Vascular Anesthesia

An Alternative Central Venous Route for Cardiac Surgery: Supraclavicular Subclavian Vein Catheterization

Kocum A, Sener M, Caliskan E, et al (Baskent Univ Faculty of Medicine, Ankara, Turkey) J Cardiothorac Vasc Anesth 25:1018-1023, 2011^§

Abstract

Objective

To evaluate the clinical success rate, safety, and usefulness for intraoperative central venous pressure monitoring, and the intravenous access of the supraclavicular subclavian vein approach when compared with the infraclavicular subclavian vein approach and the internal jugular vein approach for central venous catheterization during open-chest cardiac surgery.

Design

A prospective, randomized, single-center study.

Setting

A university hospital.

Participants

One hundred ninety-five patients scheduled for open-chest cardiac surgery.

Interventions

The study population consisted of patients for whom central vein catheterization was intended during cardiac surgery. Patients were randomized to 3 groups according to the route of central vein catheterization: the supraclavicular group: the supraclavicular approach for the subclavian vein (n = 65); the infraclavicular group: the infraclavicular approach for the subclavian vein (n = 65); and the jugular group: the internal jugular vein approach (n = 65). After the induction of anesthesia, central venous catheterization was performed according to the assigned approach.

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