[Complications and success rates of subclavian vein catheterization depending on experience].

CONCLUSION: In this post hoc analysis of the puncture of the subclavian vein using the landmark technique, we found a significant reduction of puncture attempts and overall mechanical complications. At least 50 punctures seem to be necessary to achieve the end of the learning curve; however, the landmark technique should only be used under special circumstances, when real-time ultrasound is not available. Anesthetists who want to complete their repertoire and learn the landmark technique should always perform a static ultrasound examination before starting the puncture in order to reduce complications due to anatomical variations or thrombosis.
PMID: 33231715 [PubMed - as supplied by publisher]

Source: Der Anaesthesist - November 24, 2020 Category: Anesthesiology Authors: Schulz J, Scholler A, Frank P, Scheinichen D, Flentje M, Eismann H, Palmaers T Tags: Anaesthesist Source Type: research