Fassolt A
Anasth Intensivther Notfallmed. 1981 Oct;16(5):282-4.
Central venous catheterization via the internal jugular vein was performed in 208 patients. The clavicle-orientated approach, as described by Rao in 1977, was employed. Apart from a higher incidence of failures, arterial punctures and misplacement of the catheter, as compared with other techniques, there were also 3 cases of pneumothorax (1.4 per cent) which were attributable to the proximity of the puncture site to the pleura. In 3 patients with considerable hypovolaemia venipuncture was successful at the first attempt. In view of these observations the technique cannot be regarded as suitable for routine purposes.
208例患者通过颈内静脉进行中心静脉置管。采用了Rao于1977年描述的锁骨定位法。与其他技术相比,除了失败、动脉穿刺和导管误置的发生率较高外,还有3例气胸(1.4%),这归因于穿刺部位靠近胸膜。3例血容量严重不足的患者首次静脉穿刺成功。鉴于这些观察结果,该技术不能被视为适用于常规用途。