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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557


BURGOS ARAGUEZ, Dailé; CRUZ CAMEJO, Yaniurka  and  DE DIOS SOLER MOREJON, Caridad. Catheterisation guided by real-time ultrasound in the subclavian vein. Rev Cub Med Mil [online]. 2014, vol.43, n.2, pp.228-236. ISSN 0138-6557.

Central venous catheterisation of the subclavian vein using anatomical repairs is routinely used in the intensive care unit. However, ultrasound-guided real-time technique has become one of the 10 safest practices that improve the quality of care in critically ill patients. There is still some uncertainty when comparing both methods. A review of the literature in PubMed and EMBASE databases was performed from 1985 to 2013, with the objective of providing studies using the novel technique of catheterisation of the subclavian vein under ultrasound guidance and recommending its use. A total of 102 articles, three meta-analyzes and two ultrasound-guided subclavian venous catheterisations were found. The ultrasound-guided method is a promising technique, with an increasing use in newborns, children, and adults. Most evidence shows better success rates and fewer complications compared with the technique of anatomical repairs. Current recommendations are to use static and dynamic method for catheterisation; it is argued that the latter should not be performed during the emergency.

Keywords : ultrasound-guided subclavian venous catheterisation; central venous cannulation; subclavian vein.

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