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For performing subclavian venous catheterization, two approaches (supraclavicular and infraclavicular) have been used successfully in various clinical practice. However, there remains controversy concerning which approach is safer and causes less complications during ultrasonography-guided subclavian venous catheterization. In this context, the investigators sought to compare supraclavicular approach with infraclavicular approach in terms of post-procedural complications during ultrasonography-guided subclavian venous catheterization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Infraclavicular group | Active Comparator | In the infraclavicular group, subclavian venous catheterization using ultrasonography is performed beneath the clavicle. |
|
| Supraclavicular group | Active Comparator | In the supraclavicular group, subclavian venous catheterization using ultrasonography is performed over the clavicle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supra- vs Infraclavicular approach using ultrasonography | Procedure | In the supraclavicular group, subclavian venous catheterization using ultrasonography is performed beneath the clavicle. Meanwhile, in the infraclavicular group, subclavian venous catheterization using ultrasonography is performed over the clavicle. |
| Measure | Description | Time Frame |
|---|---|---|
| the overall incidence of complications | The overall incidence of complications will be expressed as the sum of incidences of complications which occurred during subclavian venous catheterization including arterial puncture, hematoma formation, pneumothorax, hemothorax, and malposition of catheter. Arterial puncture, hematoma formation, and malposition of catheter will be evaluated with ultrasonography, and pneumothorax and hemothorax will be evaluated by chest radiography. | intraoperatively to 1 hour after the admission of ICU |
| Measure | Description | Time Frame |
|---|---|---|
| the first-pass success rate | The first-pass success was defined as successful catheterization on a single attempt in all stages of catheterization. | intraoperatively |
| the number of needling for venipuncture |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hee-pyoung Park, MD, PhD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34231204 | Derived | Kim YJ, Ma S, Yoon HK, Lee HC, Park HP, Oh H. Supraclavicular versus infraclavicular approach for ultrasound-guided right subclavian venous catheterisation: a randomised controlled non-inferiority trial. Anaesthesia. 2022 Jan;77(1):59-65. doi: 10.1111/anae.15525. Epub 2021 Jul 6. |
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The number of needling for venipuncture was defined as the amount of needling for successful subclavian venous puncture.
| intraoperatively |
| Total time for venipuncture | Total time for venipuncture was defined as the amount of time which took for successful subclavian venous puncture. | intraoperatively |