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Gef\u00fcrchtete Komplikationen dieser Prozedur sind der Pneumothorax und die arterielle Fehlpunktion. Zum Erlernen dieser Prozedur ist von einer gewissen Lernkurve auszugehen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ziel der Arbeit<\/jats:title><jats:p>In dieser Studie soll der Einfluss der Punktionserfahrung auf die Erfolgsquote und mechanische Komplikationen wie Pneumothorax und arterielle Punktion untersucht werden. Dazu sollen 3 Erfahrungsstufen miteinander verglichen werden: unerfahren: 0 bis 20\u00a0Punktionen, m\u00e4\u00dfig erfahren: 21 bis 50 und erfahren: \u00fcber 50\u00a0Punktionen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material und Methoden<\/jats:title><jats:p>Post-hoc-Analyse einer vorab publizierten Nichtunterlegenheitsstudie zur Untersuchung des Einflusses der Beatmung auf die Pneumothoraxrate bei der V.-subclavia-Punktion in Landmarkentechnik. Es wurden 1021\u00a0Patienten ausgewertet, die in die vorab publizierte Studie zwischen August 2014 und Oktober 2017 eingeschlossen wurden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Die Gesamtrate an mechanischen Komplikationen ist in der Gruppe der Unerfahrenen im Vergleich zur Gruppe der Erfahrenen signifikant h\u00f6her (15\u202f% vs. 8,5\u202f%,<jats:italic>p<\/jats:italic>\u202f=\u20090,023). Ebenso ist die Rate an Punktionsversuchen in der Gruppe der Unerfahrenen (0\u201320) mit 1,85\u202f\u00b1\u20091,12 signifikant h\u00f6her als in der Gruppe der Erfahrenen (1,58\u202f\u00b1\u20090,99,<jats:italic>p<\/jats:italic>\u202f=\u20090,004). Im Gegenzug war die Rate einer erfolgreichen Punktion mit 95,1\u202f% in der Gruppe der Erfahrenen signifikant h\u00f6her als in der Gruppe der Unerfahrenen (89,3\u202f%,<jats:italic>p<\/jats:italic>\u202f=\u20090,001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Schlussfolgerung<\/jats:title><jats:p>F\u00fcr eine erfolgreiche Punktion der V.\u00a0subclavia in Landmarkentechnik ist eine Lernkurve von mindestens 50\u00a0Punktionen n\u00f6tig, um die Komplikationsrate zu senken und die Erfolgsrate zu steigern.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00101-020-00888-2","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T15:07:54Z","timestamp":1606230474000},"page":"291-297","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Komplikationen und Erfolgsraten des Vena-subclavia-Katheters in Abh\u00e4ngigkeit der Erfahrung","Complications and success rates of subclavian vein catheterization depending on experience"],"prefix":"10.1007","volume":"70","author":[{"given":"Johannes","family":"Schulz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Scholler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Frank","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Scheinichen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Flentje","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Eismann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Palmaers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,11,24]]},"reference":[{"key":"888_CR1","doi-asserted-by":"publisher","first-page":"1192","DOI":"10.1097\/CCM.0000000000002451","volume":"45","author":"R Amir","year":"2017","unstructured":"Amir\u00a0R, Knio\u00a0ZO, Mahmood\u00a0F et\u00a0al (2017) Ultrasound as a\u00a0screening tool for central venous catheter positioning and exclusion of pneumothorax. 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