The effects of ipsilateral tilt position on right subclavian venous catheterization: study protocol for a prospective randomized trial.

ABSTRACT:

Background

The cross-sectional area of the subclavian vein (csSCV) is an important factor determining the success rate of SCV catheterization. The head-down position increases the csSCV. However, the effects of lateral tilting on subclavian venous cross-sectional area have not yet been explored. In this trial, we test our hypothesis that ipsilateral tilt during right SCV catheterization may significantly increase the csSCV by impeding blood flow to the heart, thereby increasing the primary venipuncture success rate and reducing the complication rate and procedure time.

Methods/design

This is a two-staged, prospective, randomized, controlled trial conducted on 237 neurosurgical patients requiring SCV catheterization. Seventeen patients in stage I will be placed in supine, 20°

SUBMITTER: Jung DE 

PROVIDER: S-EPMC5968706 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature