BACKGROUND Infraclavicular approach of the subclavian veins is commonly used for central venous access. However, aberrant catheter tip locations are frequently quoted for this approach. It was hypothesized that with the shoulder pulled downwards, the angle between the internal jugular and subclavian veins may increase, directing subclavian catheters into the internal jugular vein. This prospect...

Ultrasound-guided technique for central venous catheterization has been a widely developed procedure during the last decade. Nowadays, it is a common technique in the anaesthesiologist’s clinical practice. During the last six years, we usually have carried out central venous catheterization using the ultrasound-guided technique in our hospital. Moreover, we use to check correct intravenous plac...

BACKGROUND AND OBJECTIVES Classical central venous techniques are based on superficial anatomical references and the knowledge of the vascular anatomy of the area to be punctured. The ultrasound allows direct vision of vascular and perivascular structures, and the needle during the procedure. The objective of this report was to describe an ultrasound-guided central venous catheter placement in ...

The ultimate treatment of chronic kidney disease is renal transplant. Patients with CKD who need temporary haemodialysis have to have indwelling catheters. The catheters used are either temporary or permacath (A permacath is a piece of plastic tubing very similar to jugular catheter used for haemodialysis). The issues with these catheters are stenosis of central vein especially subclavian. Cent...

Central venous catheters from intensive care unit patients were subjected to microbiological methods (semiquantitative culture) and scanning electron microscopy in order to assess microbial attachment and correlate it with blood cultures. During the period of the survey, 59 patients with inserted central venous catheters were studied. The type of catheter used was nontunneled, noncuffed, single...

© SINPE-GASAPE ABSTRACT: A central venous access is needed in most patients who are candidates for parenteral nutrition. The technology of these devices has changed considerably since their initial use, one of the most recent trends being the delivery of parenteral nutrition through a peripherally inserted central catheter. Usually composed of silicone elastomer or secondor third-generation pol...

venous line insertion is a routine procedure in the intensive care unit. But intensivists should be aware of the possibility of rare anatomic variants. We report an 84-year-old patient who was admitted to the intensive care unit for respiratory distress due to Guillain-Barré syndrome. After intubation of the trachea, a central venous catheter was inserted via the left subclavian vein. Th is was...

Internal jugular vein has been recommended as the vascular access for haemodialysis because it is associated with less thrombotic/stenotic complication. Despite this recommendation, subclavian vein access is still being frequently used. This paper aims at reviewing the rate of complications associated with temporary double lumen subclavian vein dialysis access catheter in a personal series. It ...

Background. Central venous catheters and peripherally inserted central catheters are well established risk factors for upper limb deep vein thrombosis. There is limited literature on the thrombosis rates in patients with peripheral catheters. A prospective observational study was conducted to determine the incidence of peripheral catheter-related thrombosis in surgical patients. Methods. Patien...

The use of ultrasound (US) has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this review, we describe the rationale for the use of US during CVC placement, the basic principles of this technique, and the current evidence and existing guidelines for its use. In addition, we recommend a structured approach...