An ultrasound-guided supraclavicular approach for tunneled central venous catheter insertion can be safely performed by junior residents
Topic overview
This study demonstrates that junior surgical residents can safely perform ultrasound-guided supraclavicular insertion of tunneled central venous catheters via the brachiocephalic vein, with complication rates comparable to experienced surgeons despite longer operative times. The supraclavicular approach offers improved visualization and may be a teachable alternative to traditional internal jugular techniques for long-term venous access.
Key takeaways
- Ultrasound-guided supraclavicular approach to the brachiocephalic vein offers superior visualization for tunneled CVC insertion.
- Junior residents achieved comparable complication rates to senior surgeons (no significant difference in arterial puncture or pneumothorax).
- Operation time was longer for junior residents but safety profile remained acceptable with proper case selection.
- Overall complication rate was low: 6 arterial punctures, 1 pneumothorax, 1 hemothorax in 177 procedures across all experience levels.
- Supervised junior residents can safely perform this technique with attention to arterial and pleural injury risk.
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How to cite: GlobalCastMD. An ultrasound-guided supraclavicular approach for tunneled central venous catheter insertion can be safely performed by junior residents. GlobalCastMD Medical Library. 2024-07-23. https://dev.library.globalcastmd.com/article/8914?via_space=staycurrentmd
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