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Clinical reviews
Efficacy and safety of supraclavicular versus infraclavicular approach for subclavian vein catheterisation: An updated systematic review and meta-analysis of randomised controlled trials
Mitsui Memorial Hospital, Jichi Medical University, National Hospital Organization Yokohama Medical Centre
PDF202321 pages7.4 MB
Subclavian vein catheterisation (SVC) is a common procedure, but the optimal approach remains debated. This study systematically reviews randomized controlled trials to compare the supraclavicular (SC) and infraclavicular (IC) methods for SVC. The review assesses primary outcomes such as failure proportion and first-attempt success proportion, as well as adverse events like arterial puncture, pneumothorax, malposition, haemothorax, haematomas, and arrhythmias. The findings are presented using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to evaluate the certainty of evidence.
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