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Choice of route for central venous cannulation: Subclavian or internal jugular vein? A prospective randomized study
Author(s) -
Kaiser C. William,
Koornick Alan R.,
Smith Noel,
Soroff Harry S.
Publication year - 1981
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930170407
Subject(s) - medicine , subclavian vein , internal jugular vein , surgery , vein , jugular vein , randomized controlled trial , catheter
The clinical need for central venous cannulation has been well established. The usual route for catheter placement is by either the subclavian or internal jugular vein. No randomized, prospective evaluation has been yet conducted to determine which of these approaches, if either, is better with respect to reliability, placement, and frequency of nonseptic complications. One hundred consecutive patients requiring elective central venous cannulation were randomized to either the subclavian or internal jugular route. Successful venipuncture and catheter passage were significantly more common with the subclavian route, and in the absence of special clinical situations, it appears to be the route of choice.