Experience with multiple and simultaneous subclavian vein cannulations: safety and versatility.
The utilization of percutaneous catheterization of the subclavian vein has facilitated access to the central venous system and has been a valuable adjunct in the care of critically ill patients. A total of 60 patients in an intensive care setting had concurrent placement of multiple subclavian lines for fluid administration, hyperalimentation, hemodynamic monitoring, cardiac pacing, or hemodialysis over a 5-year period from 1979-84. This was done primarily because these gravely ill patients required a multitude of diagnostic and therapeutic interventions for their clinical management. Ease of applicability, versatility in use, and low morbidity for the patients were noted.
D000368:Aged; D001132:Arm; D002304:Cardiac Pacing, Artificial; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D004487:Edema / Q000209:etiology; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008991:Monitoring, Physiologic; D010289:Parenteral Nutrition, Total; D006435:Renal Dialysis; D012449:Safety; D013350:Subclavian Vein