Nessler R
Anaesthesist. 1976 Jun;25(6):303-7.
Experience gained with supraclavicular anonyma (brachiocephalica) catherizations carried out on more than 2,500 patients in an emergency and for prolonged infusion therapy is explained and discussed in the following on the bases of 800 registered tappings. A detailed description and discussion is given of the technical and methodical aspects of applying the Seldinger method and a constant catheter length, and in using a recently developed catheter which has the advantage of letter fixation; The only clinical complications observed during an average infusion time of six days was pneumothorax in 1.2% of the tappings and phlebitis in 0.9% of the catherizations. For vena anonyma tapping, the particular advantages are the easy accessibility of the vessel in every state of blood circulation at a high rate of 95%, the non-existence of false positions, the excellent catheter compatibility, the possibility of recatheterization, the possibility of optimum fixation, the safety in nursing, and the unrestricted mobility of the patient.
以下基于800次已记录的穿刺操作，对在2500多名患者身上进行的锁骨上无名静脉（头臂静脉）插管经验进行解释和讨论，这些操作是在紧急情况下以及用于长期输液治疗。详细描述并讨论了应用Seldinger方法和固定导管长度的技术及方法方面，以及使用一种最近开发的具有字母固定优势的导管；在平均六天的输液时间内观察到的唯一临床并发症是，1.2%的穿刺操作出现气胸，0.9%的插管操作出现静脉炎。对于无名静脉穿刺，其特别优势在于，在各种血液循环状态下血管易于触及，成功率高达95%，不存在误位情况，导管兼容性极佳，可再次插管，能实现最佳固定，护理安全，且患者活动不受限制。
