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Intensive Care Medicine

, Volume 43, Issue 5, pp 711–712 | Cite as

Magnet guidance reduces misplacement of subclavian vein catheter in internal jugular vein

  • Shunpeng Xing
  • Daxiang Wen
  • Ling Zhu
  • Jiemin Wang
  • Zhe Li
  • Liqun YangEmail author
  • Yuan GaoEmail author
Letter

The internal jugular vein (IJV) and subclavian vein (SCV) are the two most commonly used insertion sites for central venous catheterization (CVC). A multicenter clinical trial compared commonly used insertion sites and found that SCV use is associated with a lower incidence of bloodstream infection and deep vein thrombosis than IJV use [1]. Moreover, the SCV is often the best choice in cases of hypovolemia, morbid obesity, and neck trauma [2]. The SCV is also favored by patients because it does not interfere with neck movement and therefore is a better choice for long-indwelling cases. However, one common complication during SCV catheterization is malposition of the tip into the IJV [3], which not only impairs central venous pressure readings but also may increase the risk of thrombophlebitis. In this study, we tried to evaluate the efficacy of magnet guidance in reducing misplacement of the SCV catheter in the ipsilateral IJV.

The study was registered at Chinese Clinical Trial...

Keywords

Morbid Obesity Central Venous Catheterization Internal Jugular Vein Subclavian Vein Magnet Guidance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

This research was supported by grants from the National Natural Science Foundation of China (No. 81471846, No. 81272066), Shanghai Jiao Tong University Medical Engineering (Science) Cross Foundation (No. YG2013MS39). The funders had no role in study design, data collection and analysis, the decision to publish, or preparation of the manuscript.

Supplementary material

Supplementary material 1 (MP4 37,836 kb)

References

  1. 1.
    Parienti JJ et al (2015) Intravascular complications of central venous catheterization by insertion site. N Engl J Med 373(13):1220–1229CrossRefPubMedGoogle Scholar
  2. 2.
    McGee DC, Gould MK (2003) Preventing complications of central venous catheterization. N Engl J Med 348(12):1123–1133CrossRefPubMedGoogle Scholar
  3. 3.
    Schummer W et al (2007) Mechanical complications and malpositions of central venous cannulations by experienced operators. A prospective study of 1794 catheterizations in critically ill patients. Intensive Care Med 33(6):1055–1059CrossRefPubMedGoogle Scholar
  4. 4.
    Schmidt GA, Maizel J, Slama M (2015) Ultrasound-guided central venous access: what’s new? Intensive Care Med 41(4):705–707CrossRefPubMedGoogle Scholar
  5. 5.
    Rath GP et al (2009) Saline flush test for bedside detection of misplaced subclavian vein catheter into ipsilateral internal jugular vein. Br J Anaesth 102(4):499–502CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2017

Authors and Affiliations

  1. 1.Department of Critical Care Medicine, School of Medicine, Ren Ji HospitalShanghai Jiao Tong UniversityShanghaiChina
  2. 2.Department of Anesthesiology, School of Medicine, Ren Ji HospitalShanghai Jiao Tong UniversityShanghaiChina

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