Long-term experience in catheterization of the superior cava vein
https://doi.org/10.52485/19986173_2023_1_188
Abstract
The article presents the experience of catheterization of the superior vena cava through the internal jugular vein with ultrasound navigation in the practice of anesthesiologists-resuscitators at the Kotovsk City Clinical Hospital, as well as the nature and number of complications in comparison with catheterization through the subclavian and internal jugular vein using anatomical landmarks. The use of ultrasound navigation during catheterization of the superior vena cava through the internal jugular vein reduced the number of complications compared to the traditional method of catheterization through the subclavian vein using anatomical landmarks by 23 times. In the period from 2013 to 2022, 742 central venous catheters (CVCS) were installed on the basis of our hospital, while 26 cases of complications (6,9 %) were recorded during catheterization of the superior vena cava by subclavian access according to anatomical landmarks, and only 1 complication (0,3 %) occurred during catheterization of the jugular vein using ultrasound navigation. This indicates the high efficiency of the use of sonoscopic assistance. Further use of ultrasound navigation during catheterization of the superior vena cava at the Kotovsk State clinical Hospital, mandatory training of all anesthesiologists and resuscitators in this technique will significantly reduce the number of complications during the installation of CVC.
About the Authors
O. N. Yamshikov
Derzhavin Tambov State University, Medical Institute; Kotovsk City Clinical Hospital
Russian Federation
Russian Federation
392000; 33 Internatsionalnaya str.; Tambov; 393194; 24 Pionerskaya str.; Kotovsk
A. P. Marchenko
Derzhavin Tambov State University, Medical Institute; Kotovsk City Clinical Hospital
Russian Federation
Russian Federation
392000; 33 Internatsionalnaya str.; Tambov; 393194; 24 Pionerskaya str.; Kotovsk
S. A. Emelyanov
Derzhavin Tambov State University, Medical Institute; Kotovsk City Clinical Hospital
Russian Federation
Russian Federation
392000; 33 Internatsionalnaya str.; Tambov; 393194; 24 Pionerskaya str.; Kotovsk
O. D. Ivanova
Tambov City Clinical Hospital No. 3 named after I.S. Dolgushin
Russian Federation
Russian Federation
392000; 234/365 Karl Marx str.; Tambov
D. V. Sladkih
Derzhavin Tambov State University, Medical Institute; Tambov City Clinical Hospital named after Archbishop Luka
Russian Federation
Russian Federation
392000; 33 Internatsionalnaya str.; 6 Gogolya str.; Tambov
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Review
For citations:
Yamshikov O.N., Marchenko A.P., Emelyanov S.A., Ivanova O.D., Sladkih D.V. Long-term experience in catheterization of the superior cava vein. Transbaikalian Medical Bulletin. 2023;(1):188-200. (In Russ.) https://doi.org/10.52485/19986173_2023_1_188
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