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  • Title: Emergency subclavian vein catheterization and intravenous hyperalimentation.
    Author: Merk EA, Rush BF.
    Journal: Am J Surg; 1975 Mar; 129(3):266-8. PubMed ID: 804275.
    Abstract:
    One hundred consecutive subclavian catheter insertions were performed by the surgical house staff of Martland Hospital, Newark, New Jersey, over a ten month period. The only complications were three punctures of the subclavian artery and one systemic infection. The following conclusions were drawn from these data. Maintaining a closed intravenous system with minimal manipulation of the catheter is the most important factor in avoiding infectious complication. Neither the routine use of irrigation of the catheter with amphotericin B nor insertion of the catheter under strict aseptic conditions is necessary to minimize infectious complications. The morbidity related to insertion of the catheter can be kept to a minimum if the catheters are inserted by experienced personnel.
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