Emergency subclavian vein catheterization and intravenous hyperalimentation.
One hundred consecutive subclavian catheter insertions were performed by the surgical house staff of Martland Hospital, Newark, New Jersey, over a ten month period. The only complications were three punctures of the subclavian artery and one systemic infection. The following conclusions were drawn from these data. Maintaining a closed intravenous system with minimal manipulation of the catheter is the most important factor in avoiding infectious complication. Neither the routine use of irrigation of the catheter with amphotericin B nor insertion of the catheter under strict aseptic conditions is necessary to minimize infectious complications. The morbidity related to insertion of the catheter can be kept to a minimum if the catheters are inserted by experienced personnel.
D000666:Amphotericin B / Q000627:therapeutic use; D001207:Asepsis; D002404:Catheterization / Q000009:adverse effects*; D004630:Emergencies; D004927:Escherichia coli Infections / Q000209:etiology; D006801:Humans; D009369:Neoplasms / Q000601:surgery; D010288:Parenteral Nutrition / Q000009:adverse effects*; D011677:Punctures / Q000009:adverse effects; D018805:Sepsis / Q000517:prevention & control; D013350:Subclavian Vein / Q000601:surgery*; D013514:Surgical Procedures, Operative; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control*; D007507:Therapeutic Irrigation; D013997:Time Factors
D000666:Amphotericin B