The Infraclavicular Venipuncture

The History of Intestinal Failure and Transplantation

“…Rhoads and colleagues at the University of Pennsylvania were using the "5 liter program" to provide adequate calories through a peripheral vein [22]. In a first person account of these events Dudrick notes that a 1967 report of percutaneous infraclavicular venepuncture of the subclavian vein for the purpose of central venous pressure monitoring encouraged surgeons at the University of Pennsylvania to use this approach for the placement of a central venous catheter to administer parenteral nutrition [22,23]. If patients could receive higher concentrations of glucose via a central vein, then these large volumes of fluid could be avoided.…”

Presión venosa central

“…• Punción arterial: se produce en un 1-2% de las punciones 107,112 . • Hematomas locales 109,113 : resultan difíciles de controlar, especialmente si son de sangre arterial debido a la imposibilidad de comprimir la zona. Estos hematomas pueden llegar a desplazar estructuras mediastínicas y la trá-quea planteando serios problemas hemodinámicos o ventilatorios.…”

Contralateral Hemothorax Secondary to Chronic Subclavian Dialysis Catheter

“…The published reports cite complication rates of 4-6% [1,3,5,6] occur ring with the initial insertion of the catheter. This rate is not much different from cannulation of the subclavian vein done for nondialytic purposes [2,4,10,11], Late complications from these cannulae that have been re ported include partial thrombosis of the subclavian vein, air emboli, infection, catheter thrombosis and catheterinduced hemopericardium [7], To this list must be added contralateral hemothorax. The introduction of nonrigid urethane and silastic catheters may minimize the risk of perforation.…”