Clinical Application of Percutaneous Catheterization of Deep Vein through Three Different Channels

Objective To explore the clinical application of percutaneous catheterization of deep vein through three different channels.Methods Totally 180 ICU patients were randomly divided into 3 groups,in which percutaneous catheterization was performed through subclavian vein,internal jugular vein,or femoral vein,respectively.The failure rate of the first venipuncture attempt,time of indwelling catheters,and catheter-related complications were recorded when using the three different ways.Results The time of indwelling catheter,venipuncture failure rate,incidence of tube blockage,and incidences of arrhythmia and hemopneumothorax were highest in subclavian vein group,followed by internal jugular vein group,and lowest in femoral vein group(P0.01).The incidence of catheter slippage,incidence of infections,and degree of comfort(evaluated by the awake patients)were best in the femoral vein group,followed by internal jugular vein group and subclavian vein group.Conclusion Puncture channels can be selectively used based on the patients' specific conditions,so as to minimize deep vein puncture-associated complications.