دراسة حول قسطرة الوريد تحت الترقوة و مضاعفاتها المباشرة مستشفى الجمهورية النعليمي-عدن

الملخص EN

Background: Although catheterization of the subclavian vein (SVC) is a common procedure, the risk factors for complications and failures, with the exception of the physician's experience, are poorly understood.

The prolonged time taken for the puncture and catheterization also facilitate the appearance of complications, where it was found that more than 2 attempts for this purpose is an additional factor in producing life-threatening complications.

Objectives: To identify the proportion of success and failure of SVC and the immediate complications which may occurs due to this procedure and their types.

Methods: We conducted this retrospective study for the period (1989 through1999) in all departments of Al-Gamhouria Teaching Hospital through data collection from patients' records of critically ill patients underwent first subclavian vein catheterization.

414 patients were urgently and centrally catheterized with the aim to obtain a viable and well-calibrated vein to be used with good efficacy because of their primary serious diseases, catheterizations for haemodialysis therapy were excluded.

Results: The SVC was easy and successful process in 99.76 %.

The right subclavian was the preferable vein in about 95.4%.

2.17% (9/414) of catheterized patients developed complication related to this procedure.

They were: malposition of the catheter in 0.97%, in 0.72% accidental subclavian artery was punctured, one patient (0.24%) had complication of hydrothorax and one patient had febrile syndrome due to infection.

The failure to introduce the catheter was in one patient (0.24%).

Conclusion: we concluded that subclavian vein catheterization is life saving, easy procedure and characterize by low non-fatal complications, if catheterization had been attempted by the most experienced physicians available.