Subclavian and Jugular Catheters Complications in Dialysis Patients
DOI:
https://doi.org/10.22100/jkh.v9i3.393Keywords:
Subclavian, Jugular, Venous catheter, Dialysis patientsAbstract
Introduction: To use the large vessels of the body, the subclavian and jugular veins had the most applications and they are used in most cases. Since the advantages and disadvantages of each of these two catheterization methods are unknown, this study evaluated the effects of subclavian and jugular catheterization procedures among dialysis patients to determine the best method.
Methods: This study was a randomized clinical trial performed on all dialysis patients requiring venous catheter that referred to Imam Hossain hospital in the first half of the 2011 and approved participation in the project. In this study, patients were divided randomly into two groups of intervention (jugular catheter) and control (subclavian catheter), and after primary activities, in the operating room, venous catheter was placed for them by using the standard procedure. The shunt complications such as infection, heamothorax, and pneumothorax were investigated 1, 6, 12, 24 and 48 hours after surgery. In this study patients were divided into two groups,intervention group (52.9%) and control group (47.9%).
Results: The average incidence of infection in intervention group was 6.9 ± 5.3 and in control group was 7.3 ± 6.1, and they were not significantly different. The average incidence of heamothorax in control group 6.4 ± 4.1 was significantly higher than intervention group 4.2 ± 2.5 (P<0.003). The average incidence of the complication of pneumothorax in intervention group was 10.7 ± 6.7 and in control group was 12.5 ± 7.2 and there was no significant difference between them. Moreover the speed of surgery in the intervention group was significantly higher than control group (P<0.05).
Conclusion: The results showed that although both subclavian and jugular catheterization can be used according to the patients’ condition and the surgeon's experience, due to the lower heamothorax complication and faster speed of surgery, the jugular catheterization should be considered as the preferred method.
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