Abstract

Modern critical care patients have central venous catheterization. therapeutically obtrusive. Central venous catheterization has several methods. Jugular or femoral catheterization had a higher risk of bloodstream infection and symptomatic thrombosis than 4-8 subclavian-vein catheterization. This research compares the traditional infraclavicular subclavian approach to the supraclavicular technique for simplicity of subclavian cannulation under ultrasound guidance, as well as duration, complications, success rate, and number of tries. Materials and methods: Patients who needed critical care after elective surgery arrived. received 140-sample (70 in each group). After applying exclusion criteria—coagulopathies, anticoagulants, distorted chest architecture, chest trauma, cervical rib, superior vena cava syndrome, cannulation site infection—140 patients were separated into two groups. Pregnant patients, Infected patients, Retroviral, infective endocarditis, and immunosuppressed patients Other subclavian vein cannulation within 4 days was eliminated. Discussion: The supra clavicular and infra clavicular groups had similar pre-operative systolic and diastolic blood pressure (121.7 ± 6.7 vs 122.6 ± 7.0). Pre-operative pulse rate and pre-spo2 (mean ± SD) showed reduced variance across groups. The supra clavicular and infra clavicular groups had similar post-operative systolic and prediastolic blood pressure (mean ± SD) (122.0 ± 6.3 vs 123.5 ± 6.0). Post-operative pulse rate and Spo2 were similar across groups. Both procedures were hemodynamically stable. Comparative observational research on the invasive procedure adds internal validity, and standard technique and adequate recommendations were used, therefore no issues were recorded. A larger hospital-based investigation may be needed to generalize the findings. This inquiry was unblinded. The interviewer-administered data gathering method may also create social desirability bias. Conclusion: The supraclavicular approach to the subclavian vein speeds up vein visualization, venous puncture, and catheterization, reducing treatment time. Even though the Infraclavicular technique requires more labor, both procedures had identical success rates and mechanical difficulties. Thus, the supraclavicular approach to the subclavian vein for ultrasoundguided central venous catheter insertion benefits intensive care unit and operating room patients.

Description

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