Fi Khosa, Wi Chaudhry, Azhar Rahman.
Complications of Central Venous Catheters: Internal Jugular versus Subclavian Routes.
Proceeding Shaikh Zayed Postgrad Med Comp Jan ;23(1):13-8.

Complications of Central venous catheterization is often necessary to treat critical ill patients hospitalized in intensive care units(ICU).However, this procedure can lead to serious and sometimes life threatening complications whether mechanical, infectious, thrombotic. The choice of insertion site can influence the incidence and type of such complications. Study design: Cross sectional analytic study. Place and duration of Study: Anesthesia department Shaikh Zayed Hospital Lahore. Methods: In this study sixty patients of ASA 1-1V, E, and weight between 35 ? 100kg, were included. Thirty of those were in group A (internal jugular vein was the route of central venous catheterization), and another thirty in group B (subclavian vein was the route of central venous catheterization).They were randomly allocated into two sub groups A and B by using random table. Results: Mean age of the patients was found to be 53.2±14.2 and 45.6±17.6 in group A and group B respectively. There were no significant hemodynamic changes noted. In few cases there were minimum increase in blood pressure and heart rate.16.7% patients from group B developed pneumothorax during 36 hours post-procedure, whereas no patient from group ? A developed pneumothorax. Conclusion: Appropriate catheter and site selection, sufficient operator experience, careful technique and proper catheter maintenance, and catheter early removal is associated with optimal outcome.

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