Loading…
Efficacy and safety of supraclavicular versus infraclavicular approach for subclavian vein catheterisation: An updated systematic review and meta-analysis of randomised controlled trials
Background and Aims: Subclavian vein catheterisation (SVC) is more effective than internal jugular or femoral catheterisation and is linked to a lesser incidence of infection and patient discomfort. Whether the supraclavicular (SC) or infraclavicular (IC) approach is more effective for SVC is unclea...
Saved in:
Published in: | Indian journal of anaesthesia 2023-06, Vol.67 (6), p.486-496 |
---|---|
Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c842y-89766feab2931c72e4b9bae037e97f8e7294c0af1e21bebfb66ae485abce22143 |
---|---|
cites | cdi_FETCH-LOGICAL-c842y-89766feab2931c72e4b9bae037e97f8e7294c0af1e21bebfb66ae485abce22143 |
container_end_page | 496 |
container_issue | 6 |
container_start_page | 486 |
container_title | Indian journal of anaesthesia |
container_volume | 67 |
creator | Imai, Eriya Watanabe, Jun Okano, Hiromu Yokozuka, Motoi |
description | Background and Aims: Subclavian vein catheterisation (SVC) is more effective than internal jugular or femoral catheterisation and is linked to a lesser incidence of infection and patient discomfort. Whether the supraclavicular (SC) or infraclavicular (IC) approach is more effective for SVC is unclear in the previous systematic review. This updated review is designed to search the efficacy and safety of both approaches adopting the Grading of Recommendations Assessment, Development and Evaluation approach. Methods: In May 2022, we explored the databases of Embase, MEDLINE, CENTRAL, ClinicalTrials.gov and WHO-ICTRP for randomised controlled trials to compare the two approaches. Results: Seventeen trials (2482 cases) were included. In the primary outcomes, the SC approach likely reduces the failure proportion (relative risk [RR], 0.63; 95% confidence interval [CI], 0.47-0.86; I2 = 5%) and the incidence of malposition (RR, 0.23; 95% CI, 0.13-0.39; I2 = 0%) with moderate evidence and may slightly reduce the incidence of arterial puncture and pneumothorax (RR, 0.59; 95% CI, 0.29-1.22; I2 = 0%) with low evidence. In the secondary outcomes, the SC approach may decrease the access time and may increase the first-attempt success proportion. Conclusion: The SC approach for SVC should be selected after considering the clinician's expertise. |
doi_str_mv | 10.4103/ija.ija_837_22 |
format | article |
fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_f9c69ab887fb4daebc788f5598083fa4</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A817933436</galeid><doaj_id>oai_doaj_org_article_f9c69ab887fb4daebc788f5598083fa4</doaj_id><sourcerecordid>A817933436</sourcerecordid><originalsourceid>FETCH-LOGICAL-c842y-89766feab2931c72e4b9bae037e97f8e7294c0af1e21bebfb66ae485abce22143</originalsourceid><addsrcrecordid>eNqNlN9v0zAQxyMEYmPwyiOKhIR46UhsJ3Z4GdM0YNIkXuDZurjn1p0bFztp1X-Nv47rfraoTFMU2Tp_7nt3zl2y7G1ZHIuy4J_cDI7p1YpLzdiz7LBoZD1iqpTPaV-UzagqRHOQvUppVhSc8bp-mR1wKWQtBD_M_pxb6wyYdQ7dOE9gsV_nweZpWEQwHpbODB5ivsSYhpS7zu6YYbGIAcw0tyGST3t9BB3hrssN9FPsMboEvQvd5_y0y4fFGHqkSOvU45zsJo-4dLi6jj_HHkbQgV8nlzZpRLKGuUvkYULXx-A9bfvowKfX2QtLC765XY-yX1_Pf559H13--HZxdno5Mkqw9UjRhdQWoWUNL41kKNqmBSy4xEZahZI1whRgS2Rli61t6xpQqApag4yVgh9lFze64wAzvYhuDnGtAzh9bQhxoiFSIR61bUzdQKuUtK0YA7ZGKmWrqlGF4hY2Wic3WouhnePYINUEfkd096RzUz0JS03fuqq4UKTw8VYhht8Dpl7T9Rj0HjoMQ9JMUV8wLnhJ6Pt_0FkYIt1u0rwsqTIuZf0YxRSvCCpE9UBNgOqkNgiUntmE1qfUbA2niPWjlKyo6cqmkESN9lAT7JAqDh1aR-Yd1afw2_rHe3h6xjh3Zm-AJzlsR_iw5TBF8P00BT9s2jztKj8K7snZxJBSRHvfE2WhN5OuN1P-MOnk8G67k-7xu9Em4MsNsAqehjBd-WGFURN71YXVf2S1ULW--yXwvyjnZ3A</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2835337045</pqid></control><display><type>article</type><title>Efficacy and safety of supraclavicular versus infraclavicular approach for subclavian vein catheterisation: An updated systematic review and meta-analysis of randomised controlled trials</title><source>Publicly Available Content Database</source><source>Medknow Open Access Medical Journals</source><source>PubMed Central</source><creator>Imai, Eriya ; Watanabe, Jun ; Okano, Hiromu ; Yokozuka, Motoi</creator><creatorcontrib>Imai, Eriya ; Watanabe, Jun ; Okano, Hiromu ; Yokozuka, Motoi</creatorcontrib><description>Background and Aims: Subclavian vein catheterisation (SVC) is more effective than internal jugular or femoral catheterisation and is linked to a lesser incidence of infection and patient discomfort. Whether the supraclavicular (SC) or infraclavicular (IC) approach is more effective for SVC is unclear in the previous systematic review. This updated review is designed to search the efficacy and safety of both approaches adopting the Grading of Recommendations Assessment, Development and Evaluation approach. Methods: In May 2022, we explored the databases of Embase, MEDLINE, CENTRAL, ClinicalTrials.gov and WHO-ICTRP for randomised controlled trials to compare the two approaches. Results: Seventeen trials (2482 cases) were included. In the primary outcomes, the SC approach likely reduces the failure proportion (relative risk [RR], 0.63; 95% confidence interval [CI], 0.47-0.86; I2 = 5%) and the incidence of malposition (RR, 0.23; 95% CI, 0.13-0.39; I2 = 0%) with moderate evidence and may slightly reduce the incidence of arterial puncture and pneumothorax (RR, 0.59; 95% CI, 0.29-1.22; I2 = 0%) with low evidence. In the secondary outcomes, the SC approach may decrease the access time and may increase the first-attempt success proportion. Conclusion: The SC approach for SVC should be selected after considering the clinician's expertise.</description><identifier>ISSN: 0019-5049</identifier><identifier>EISSN: 0976-2817</identifier><identifier>DOI: 10.4103/ija.ija_837_22</identifier><identifier>PMID: 37476443</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Analysis ; catheterisation ; Catheterization ; Comparative analysis ; Health aspects ; infraclavicular approach ; Meta-analysis ; Methods ; Patient outcomes ; subclavian vein ; supraclavicular approach ; Systematic review ; Systematic Review and Meta-Analysis</subject><ispartof>Indian journal of anaesthesia, 2023-06, Vol.67 (6), p.486-496</ispartof><rights>Copyright: © 2023 Indian Journal of Anaesthesia.</rights><rights>COPYRIGHT 2023 Medknow Publications and Media Pvt. Ltd.</rights><rights>2023. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2023 Indian Journal of Anaesthesia 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c842y-89766feab2931c72e4b9bae037e97f8e7294c0af1e21bebfb66ae485abce22143</citedby><cites>FETCH-LOGICAL-c842y-89766feab2931c72e4b9bae037e97f8e7294c0af1e21bebfb66ae485abce22143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355348/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2835337045?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27458,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37476443$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Imai, Eriya</creatorcontrib><creatorcontrib>Watanabe, Jun</creatorcontrib><creatorcontrib>Okano, Hiromu</creatorcontrib><creatorcontrib>Yokozuka, Motoi</creatorcontrib><title>Efficacy and safety of supraclavicular versus infraclavicular approach for subclavian vein catheterisation: An updated systematic review and meta-analysis of randomised controlled trials</title><title>Indian journal of anaesthesia</title><addtitle>Indian J Anaesth</addtitle><description>Background and Aims: Subclavian vein catheterisation (SVC) is more effective than internal jugular or femoral catheterisation and is linked to a lesser incidence of infection and patient discomfort. Whether the supraclavicular (SC) or infraclavicular (IC) approach is more effective for SVC is unclear in the previous systematic review. This updated review is designed to search the efficacy and safety of both approaches adopting the Grading of Recommendations Assessment, Development and Evaluation approach. Methods: In May 2022, we explored the databases of Embase, MEDLINE, CENTRAL, ClinicalTrials.gov and WHO-ICTRP for randomised controlled trials to compare the two approaches. Results: Seventeen trials (2482 cases) were included. In the primary outcomes, the SC approach likely reduces the failure proportion (relative risk [RR], 0.63; 95% confidence interval [CI], 0.47-0.86; I2 = 5%) and the incidence of malposition (RR, 0.23; 95% CI, 0.13-0.39; I2 = 0%) with moderate evidence and may slightly reduce the incidence of arterial puncture and pneumothorax (RR, 0.59; 95% CI, 0.29-1.22; I2 = 0%) with low evidence. In the secondary outcomes, the SC approach may decrease the access time and may increase the first-attempt success proportion. Conclusion: The SC approach for SVC should be selected after considering the clinician's expertise.</description><subject>Analysis</subject><subject>catheterisation</subject><subject>Catheterization</subject><subject>Comparative analysis</subject><subject>Health aspects</subject><subject>infraclavicular approach</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Patient outcomes</subject><subject>subclavian vein</subject><subject>supraclavicular approach</subject><subject>Systematic review</subject><subject>Systematic Review and Meta-Analysis</subject><issn>0019-5049</issn><issn>0976-2817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNlN9v0zAQxyMEYmPwyiOKhIR46UhsJ3Z4GdM0YNIkXuDZurjn1p0bFztp1X-Nv47rfraoTFMU2Tp_7nt3zl2y7G1ZHIuy4J_cDI7p1YpLzdiz7LBoZD1iqpTPaV-UzagqRHOQvUppVhSc8bp-mR1wKWQtBD_M_pxb6wyYdQ7dOE9gsV_nweZpWEQwHpbODB5ivsSYhpS7zu6YYbGIAcw0tyGST3t9BB3hrssN9FPsMboEvQvd5_y0y4fFGHqkSOvU45zsJo-4dLi6jj_HHkbQgV8nlzZpRLKGuUvkYULXx-A9bfvowKfX2QtLC765XY-yX1_Pf559H13--HZxdno5Mkqw9UjRhdQWoWUNL41kKNqmBSy4xEZahZI1whRgS2Rli61t6xpQqApag4yVgh9lFze64wAzvYhuDnGtAzh9bQhxoiFSIR61bUzdQKuUtK0YA7ZGKmWrqlGF4hY2Wic3WouhnePYINUEfkd096RzUz0JS03fuqq4UKTw8VYhht8Dpl7T9Rj0HjoMQ9JMUV8wLnhJ6Pt_0FkYIt1u0rwsqTIuZf0YxRSvCCpE9UBNgOqkNgiUntmE1qfUbA2niPWjlKyo6cqmkESN9lAT7JAqDh1aR-Yd1afw2_rHe3h6xjh3Zm-AJzlsR_iw5TBF8P00BT9s2jztKj8K7snZxJBSRHvfE2WhN5OuN1P-MOnk8G67k-7xu9Em4MsNsAqehjBd-WGFURN71YXVf2S1ULW--yXwvyjnZ3A</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Imai, Eriya</creator><creator>Watanabe, Jun</creator><creator>Okano, Hiromu</creator><creator>Yokozuka, Motoi</creator><general>Wolters Kluwer India Pvt. Ltd</general><general>Medknow Publications and Media Pvt. Ltd</general><general>Medknow Publications & Media Pvt. Ltd</general><general>Wolters Kluwer - Medknow</general><general>Wolters Kluwer Medknow Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20230601</creationdate><title>Efficacy and safety of supraclavicular versus infraclavicular approach for subclavian vein catheterisation: An updated systematic review and meta-analysis of randomised controlled trials</title><author>Imai, Eriya ; Watanabe, Jun ; Okano, Hiromu ; Yokozuka, Motoi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c842y-89766feab2931c72e4b9bae037e97f8e7294c0af1e21bebfb66ae485abce22143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analysis</topic><topic>catheterisation</topic><topic>Catheterization</topic><topic>Comparative analysis</topic><topic>Health aspects</topic><topic>infraclavicular approach</topic><topic>Meta-analysis</topic><topic>Methods</topic><topic>Patient outcomes</topic><topic>subclavian vein</topic><topic>supraclavicular approach</topic><topic>Systematic review</topic><topic>Systematic Review and Meta-Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Imai, Eriya</creatorcontrib><creatorcontrib>Watanabe, Jun</creatorcontrib><creatorcontrib>Okano, Hiromu</creatorcontrib><creatorcontrib>Yokozuka, Motoi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Indian journal of anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imai, Eriya</au><au>Watanabe, Jun</au><au>Okano, Hiromu</au><au>Yokozuka, Motoi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy and safety of supraclavicular versus infraclavicular approach for subclavian vein catheterisation: An updated systematic review and meta-analysis of randomised controlled trials</atitle><jtitle>Indian journal of anaesthesia</jtitle><addtitle>Indian J Anaesth</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>67</volume><issue>6</issue><spage>486</spage><epage>496</epage><pages>486-496</pages><issn>0019-5049</issn><eissn>0976-2817</eissn><abstract>Background and Aims: Subclavian vein catheterisation (SVC) is more effective than internal jugular or femoral catheterisation and is linked to a lesser incidence of infection and patient discomfort. Whether the supraclavicular (SC) or infraclavicular (IC) approach is more effective for SVC is unclear in the previous systematic review. This updated review is designed to search the efficacy and safety of both approaches adopting the Grading of Recommendations Assessment, Development and Evaluation approach. Methods: In May 2022, we explored the databases of Embase, MEDLINE, CENTRAL, ClinicalTrials.gov and WHO-ICTRP for randomised controlled trials to compare the two approaches. Results: Seventeen trials (2482 cases) were included. In the primary outcomes, the SC approach likely reduces the failure proportion (relative risk [RR], 0.63; 95% confidence interval [CI], 0.47-0.86; I2 = 5%) and the incidence of malposition (RR, 0.23; 95% CI, 0.13-0.39; I2 = 0%) with moderate evidence and may slightly reduce the incidence of arterial puncture and pneumothorax (RR, 0.59; 95% CI, 0.29-1.22; I2 = 0%) with low evidence. In the secondary outcomes, the SC approach may decrease the access time and may increase the first-attempt success proportion. Conclusion: The SC approach for SVC should be selected after considering the clinician's expertise.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>37476443</pmid><doi>10.4103/ija.ija_837_22</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0019-5049 |
ispartof | Indian journal of anaesthesia, 2023-06, Vol.67 (6), p.486-496 |
issn | 0019-5049 0976-2817 |
language | eng |
recordid | cdi_doaj_primary_oai_doaj_org_article_f9c69ab887fb4daebc788f5598083fa4 |
source | Publicly Available Content Database; Medknow Open Access Medical Journals; PubMed Central |
subjects | Analysis catheterisation Catheterization Comparative analysis Health aspects infraclavicular approach Meta-analysis Methods Patient outcomes subclavian vein supraclavicular approach Systematic review Systematic Review and Meta-Analysis |
title | Efficacy and safety of supraclavicular versus infraclavicular approach for subclavian vein catheterisation: An updated systematic review and meta-analysis of randomised controlled trials |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T17%3A08%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Efficacy%20and%20safety%20of%20supraclavicular%20versus%20infraclavicular%20approach%20for%20subclavian%20vein%20catheterisation:%20An%20updated%20systematic%20review%20and%20meta-analysis%20of%20randomised%20controlled%20trials&rft.jtitle=Indian%20journal%20of%20anaesthesia&rft.au=Imai,%20Eriya&rft.date=2023-06-01&rft.volume=67&rft.issue=6&rft.spage=486&rft.epage=496&rft.pages=486-496&rft.issn=0019-5049&rft.eissn=0976-2817&rft_id=info:doi/10.4103/ija.ija_837_22&rft_dat=%3Cgale_doaj_%3EA817933436%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c842y-89766feab2931c72e4b9bae037e97f8e7294c0af1e21bebfb66ae485abce22143%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2835337045&rft_id=info:pmid/37476443&rft_galeid=A817933436&rfr_iscdi=true |