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  • 标题:Influence of the Head Posture on Central Venous Catheter Position during Right Subclavian Catheterization
  • 本地全文:下载
  • 作者:Ryu, Ho-Geol ; Lee, Sang Jin ; Kwon, Jung Eun
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2007
  • 卷号:52
  • 期号:6
  • 页码:627-629
  • DOI:10.4097/kjae.2007.52.6.627
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:Background

    Confirmation of central venous catheter position with chest X-ray is recommended, but frequently omitted in clinical practice. It was suggested that the head posture during right subclavian catheterization affects the incidence of catheter malposition in infants. We evaluated the influence of the head posture on catheter position during right subclavian catheterization in adults.

    Methods

    Two-hundred and seventy four patients scheduled for thoracic or neuro-surgery requiring central venous catheterization were enrolled. Patients were divided into 3 groups depending on the head posture during catheter insertion: the neutral group (n = 109), the turn away group (n = 72), and the turn toward group (n = 93). The catheter position was confirmed with postoperative chest X-ray.

    Results

    Central venous catheterization was failed in 5 patients. There were no differences in the incidence of catheter malposition and the complications among the 3 groups.

    Conclusions

    The head posture during right subclavian catheterization did not affect catheter malposition and immediate complication rates.

  • 关键词:central venous catheterization; head posture; subclavian vein
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