The axillary vein central venous catheter in severely burned patients

In severely burned patients the approach to the central vein is often difficult due to concomitant edema, but also due to the fact that the skin area, where commonly used approaches are performed, is burned as well, whereas the axillary region is often not involved. In order to perform an axillary a...

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Bibliographic Details
Published in:Burns 1999-12, Vol.25 (8), p.753-756
Main Authors: Andel, H, Rab, M, Felfernig, M, Andel, D, Koller, R, Kamolz, L-P, Zimpfer, M
Format: Article
Language:English
Subjects:
Adult
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Axillary vein
Axillary Vein - anatomy & histology
Biological and medical sciences
Burn Units
Burned patients
Burns - therapy
Cadaver
Catheterization, Central Venous - methods
Central venous line
Emergency and intensive care: burns
Female
Humans
Intensive care medicine
Male
Medical sciences
Middle Aged
Punctures
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Summary:In severely burned patients the approach to the central vein is often difficult due to concomitant edema, but also due to the fact that the skin area, where commonly used approaches are performed, is burned as well, whereas the axillary region is often not involved. In order to perform an axillary approach to the central vein as an alternative to the commonly used approaches in patients, an anatomical dissection in fresh human cadavers was carried out. Considering the anatomical landmarks which were found during dissection of the axillary region, the axillary approach to the central vein was used in 35 patients in our intensive burn care unit with unaffected axillary skin. In three cases the only complication observed was an occasional puncture of the axillary artery without major hematoma. The infection rate of the catheters was similar to the commonly used puncture sites. This approach to the central venous line in severely burned patients can be recommended.
ISSN:0305-4179
1879-1409
DOI:10.1016/S0305-4179(99)00090-X