CENTRAL VENOUS CATHETERIZATION AND CARDIAC SURGERIES
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Abstract
Objective: To compare the rate of complications and ease of insertion between internal jugular vs subclavian central venous catheterization in patients undergoing cardiac surgeries.
Material and Methods: This randomized clinical control study was conducted in the department of Cardiothracic Anesthesia PGMI/Lady Reading Hospital, Peshawar from April 2013 to November 2014. A totol number of 200 patients were randomly assigned in one of the two groups,i-e 100 in internal jugular group and 100 patients in subclavian group for central venous catheterization. Patients’s demographic data, rate of complications and ease of insertion between the two groups were recorded and compared. Calculations were done using the SPSS, software pakage, Version 17.
Results: There was no statistically significant difference between the Ages, sex, weight and the type of surgery in the two studied groups. Efficacy in terms of ease of insertion was more in internal jugular group as the number of attempts were less, comared to subclavian group. Rate of complications were more in subclavian group compared to internal jugular group (P value < 0.05) except infection rate which was noted to be high in internal jugular group (P value < 0.05).
Conclusion: Internal jugular vein is an easy access having less complications for central venous catheterization compared
to subclavian vein.
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