We still go for the jugular: implications of the 3SITES central venous catheter study for nephrology.
rct · Level II
Where this comes from
- Record sourced from PubMed, PMID 26880443.
- Also identified by DOI 10.1016/j.kint.2016.01.003.
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Abstract
The 3SITES study randomly assigned a nontunneled central venous catheter site in over 3000 adults treated in intensive care units. The subclavian site was associated with a lower rate of short-term complications, including catheter-related bloodstream infection and deep venous thrombosis, compared to the femoral or internal jugular site. Nephrologists should be aware of this study and should continue to advocate for alternatives to subclavian vein catheter placement in patients with chronic kidney disease who are expected to require arteriovenous access for dialysis in the future.
Medical subject headings
- Arteriovenous Shunt, Surgical
- Catheterization, Central Venous
- Jugular Veins
- Renal Dialysis
- Renal Insufficiency, Chronic
- Subclavian Vein