The role of PEEP for cannulation of the subclavian vein: A prospective observational study.

ABSTRACT:

Purpose

The role of positive endexpiratory pressure (PEEP) for successful cannulation of the subclavian vein (SCV) remains inconclusive. The aim of our study was to assess the effect of different levels of PEEP on distance from SCV to parietal pleura (DVP) and on the cross-sectional area (CSA) of the SCV.

Methods

Invasive mechanically ventilated adult patients with a clinical indication for a stepwise PEEP-trial (0, 5, 10, and 15 cm H2O) were included in this prospective observational single-center study. Ultrasound examinations of SCV were performed with a linear ultrasound probe using the infraclavicular view. DVP and CSA were measured on the right and left bodyside. Examinations were repeated at each PEEP step.

Results

27 patients were enrolled (12 female; 60±21 ye

SUBMITTER: Eimer C 

PROVIDER: S-EPMC10138469 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature