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December 1978

Indications, Management, and Complications of Percutaneous Subclavian Catheters: An Audit

Author Affiliations

From the Department of Surgery, University of North Carolina School of Medicine, Chapel Hill.

Arch Surg. 1978;113(12):1421-1425. doi:10.1001/archsurg.1978.01370240043006

• A retrospective outcome-oriented audit was conducted to determine the complications associated with percutaneous infraclavicular subclavian catheters in a university hospital. The study is unique since patients having these catheters were not under the care of a select group of physicians and the patients were not restricted to a special nursing unit. One hundred and seventeen catheters were placed in 68 patients. Seventeen types of complications were audited. There were 13 complications (11%) identified as follows: pneumothorax, seven; subcutaneous emphysema, one; subclavian artery hematoma, one; pleural effusion, one; improper position, two; and sepsis, one. No mortality was associated with catheter placement. Pattern analysis suggested physician inexperience as an important cause of complications. The difficulties of establishing a retrospective audit based on documentation errors and omissions are discussed.

(Arch Surg 113:1421-1425, 1978)

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