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Aim; In central venous catheterization (CVC), misplacement is not arare complication since this is a blinded procedure. The aim of thisstudy was to compare the misplacement risks of the access of internaljugular vein with that of subclavian vein catheterizations. Methods; The records of a total of 1092 patients in whom central venouscatheters were placed between 2002 and 2006 in Anesthesiology IntensiveCare Unit and the location of the tips was confirmed radiologicallywere retrospectively evaluated. Neck and infraclavicular region werecleaned by antiseptic solution after routine monitorization. CVC wereeasily inserted with Seldinger’s technique after blood aspirationthrough internal jugular vein or subclavian vein. Results; In adultpatients, six internal jugular catheter misplacements were seen(0.80%); among them five were kinking and one was intrapleural locationof the catheter tip. Six subclavian misplacements (2.02 %) weredetected, five of them were located in contralateral subclavian vein,and one was located in ipsilateral internal jugular vein. In children,two subclavian misplacements were seen as crossing to contraleteralsubclavian vein, and there were no internal jugular misplacement. Therewas no statistically difference for misplacement between the accesssites (in adult p= 0.110, in children p=0.501). Conclusion; We haveconcluded that experience of operator should be taken into account forchoice of catheterization site.

MISPLACEMENTS OF CENTRAL VENOUS CATHETERS: INTERNAL JUGULAR VERSUS SUBCLAVIAN ACCESS IN CRITICAL CARE PATIENTS