Trial reportIntensive care medicine2019
Complications in internal jugular vs subclavian ultrasound-guided central venous catheterization: a comparative randomized trial.
Trial report in Intensive care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 8 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Central venous cannulation in critically ill patients: guidelines of the Polish Society of Anaesthesiology and Intensive Therapy.Anaesthesiology intensive therapy · 2026Guideline
- [Clinical Practice and Quality Control Guidelines for Totally Implantable Venous Access Ports in Cancer Patients (2024)].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Guideline
- Extracorporeal treatment for ethylene glycol poisoning: systematic review and recommendations from the EXTRIP workgroup.Critical care (London, England) · 2023Pooled it
- Extracorporeal Treatment for Methotrexate Poisoning: Systematic Review and Recommendations from the EXTRIP Workgroup.Clinical journal of the American Society of Nephrology : CJASN · 2022Pooled it
- Insertion site of central venous catheter among hospitalized adult patients: A systematic review and network meta-analysis.Frontiers in medicine · 2022Pooled it
- Central venous catheterization site choice based on anatomical landmark technique: a systematic review and meta-analysis.Journal of anesthesia · 2021Pooled it
- Extracorporeal treatment for poisoning to beta-adrenergic antagonists: systematic review and recommendations from the EXTRIP workgroup.Critical care (London, England) · 2021Pooled it
- Extracorporeal Treatment for Chloroquine, Hydroxychloroquine, and Quinine Poisoning: Systematic Review and Recommendations from the EXTRIP Workgroup.Journal of the American Society of Nephrology : JASN · 2020Pooled it
- Site-specific complications of central venous catheterization under systematic ultrasound guidance: a target trial emulation revisiting the 3SITES study.Critical care (London, England) · 2025Trial
- Individualized Blind Techniques for Puncture of Intrathoracic and Extrathoracic Subclavian Vein: Three Simple Experience Tips.Anatolian journal of cardiology · 2023Trial
- Clinical Effect of Modified Ultrasound-Guided Subclavian Vein Puncture.International journal of clinical practice · 2023Trial
- Trial
- Sono-anatomy of the supraclavicular region for ultrasound-guided subclavian vein catheterization: revaluation of a former method.BMC anesthesiology · 2026Observational
- Internal jugular vein catheterization and catheter insertion slipped into the cervical spinal canal: a special case report.Frontiers in medicine · 2026Article
- Occurrence and Risk Factors for Unplanned Central Venous Catheter Removal in Critically Ill Patients: A Multicenter Cohort Study.Nursing research and practice · 2025Article
- Minimally invasive approach to managing brachiocephalic trunk cannulation complicating central venous catheterization: a case report.International journal of emergency medicine · 2024Article
- Cubital vein access provides a practical alternative to internal jugular vein access for coronary sinus catheter placement.Journal of arrhythmia · 2024Article
- Application of pocket-first technique for implantation of totally implantable venous access ports.BMC surgery · 2024Article
- Clinical application of ultrasound-guided totally implantable venous access ports implantation via the posterior approach of the internal jugular vein.Journal of the Chinese Medical Association : JCMA · 2024Article
- [GMIA-Breast Oncoplastic and Reconstruction Society consensus on operative standards of breast cancer surgery].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe use of real-time ultrasound (US) has been shown to reduce complications of central venous (CV) catheterization. However, complication rates have not been compared according to insertion points for CV catheterization using US. Accordingly, this study aimed to compare the complication rates of internal jugular vein (IJV) with those of subclavian vein (SCV) catheterization.
methodsThree tertiary academic hospitals in South Korea participated in this multicenter, randomized study. A total of 1484 patients were preoperatively randomized into two groups. The IJV group (n = 742) was cannulated via the right IJV, and the SCV group (n = 742) was cannulated via the right SCV under US guidance. The primary outcome measure was total complication rate. Secondary outcomes included access time for the first attempt, number of attempts, and catheter position.
resultsThe total complication rate did not demonstrate a significant difference between the IJV (0.1%) and SCV (0.7%) groups (P = 0.248). In the IJV group, arterial puncture occurred in 0.1% of patients; in the SCV group, arterial puncture occurred in 0.6% and pneumothorax in 0.1%. The success rate on the first attempt was significantly higher in the IJV group (98.4%) than in the SCV group (95.9%) (P = 0.004). The access time for the first attempt (P < 0.001) and the median number of attempts (P = 0.006) were significantly lower in the IJV group than in the SCV group. More catheter misplacements were observed in the SCV group (5.9%) than in the IJV group (0.4%) (P < 0.001).
conclusionResults demonstrated that the complication rates of IJV and SCV catheterizations using US are very low, showing no superiority of the SCV approach compared to the IJV.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.