Comparison of two ultrasound guided approaches for axillary vein catheterization: a randomized controlled non-inferiority trial

British Journal of Anaesthesia
G BuzançaisL Muller

Abstract

Axillary vein catheterization via a distal approach is an alternative to the proximal approach to axillary/subclavian vein catheterization under ultrasound (US) guidance. The aim of this trial was to compare the two approaches. In a randomized single-centre study, all patients requiring central vein catheterization in intensive care or the operating room were randomly assigned to proximal or distal approach groups. If catheterization failed after two attempts using the approach allocated, the non-allocated approach was used. The primary endpoint was the initial success rate of distal to compared with the proximal approach, using a non-inferiority analysis (lower limit 90% CI greater than -8% non-inferiority margin for group difference). The secondary endpoints were: overall success rates, catheter position and complications. 119/122 included patients were analysed (57 and 62 in the proximal and distal axillary approach groups, respectively). Primary success rates for proximal and distal sites were 87.7 and 85.5%, respectively (difference -2.2%, 90% CI [-12.5-8.1%], non-inferiority P=0.18). The proximal and distal overall success rates were 96.5 and 98.4%, respectively (difference -1.9%, 90% CI [-4.9-8.7%], non-inferiority P<0.0...Continue Reading

References

Dec 29, 1994·The New England Journal of Medicine·P F MansfieldD M Ota
Dec 22, 1993·JAMA : the Journal of the American Medical Association·J R Le GallF Saulnier
Jan 1, 1996·JPEN. Journal of Parenteral and Enteral Nutrition·P J KearnsJ H Wehner
Aug 10, 2001·JAMA : the Journal of the American Medical Association·J MerrerUNKNOWN French Catheter Study Group in Intensive Care
Mar 21, 2003·The New England Journal of Medicine·David C McGee, Michael K Gould
Apr 17, 2003·British Journal of Anaesthesia·S Galloway, A Bodenham
Aug 16, 2003·BMJ : British Medical Journal·Daniel HindSteven Thomas
Jun 29, 2004·British Journal of Anaesthesia·A SharmaA Mallick
Feb 22, 2005·Annals of the Royal College of Surgeons of England·A J BrooksD L Morris
Nov 23, 2006·Critical Care : the Official Journal of the Critical Care Forum·Dimitrios KarakitsosAndreas Karabinis
Jun 29, 2010·The American Journal of Emergency Medicine·Adam BallsUNKNOWN Central Line Emergency Access Registry Investigators
Feb 25, 2011·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C P LinW Z Sun
Apr 5, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Naomi P O'GradyUNKNOWN Healthcare Infection Control Practices Advisory Committee (HICPAC)
May 23, 2012·Intensive Care Medicine·Massimo LampertiSusan T Verghese
Nov 8, 2012·British Journal of Anaesthesia·J TokumineY Fukuda
Nov 28, 2012·The American Journal of Emergency Medicine·Sarah K SommerkampBrian D Euerle
Apr 2, 2015·Anaesthesia Critical Care & Pain Medicine·Hervé BouazizStéphane Villiers

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