{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:07:34Z","timestamp":1787170054514,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Classically subclavian vein catheterization is done in neutral arm position; recently, it has been done in different arm positions to compare success rate and catheter misplacement. There is a paucity of literature for comparing abducted and neutral arm position for right infraclavicular subclavian vein cannulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Comparison of success rate of abducted and neutral arm position for right infraclavicular subclavian vein cannulation under real-time ultrasound guidance in patients undergoing elective neurosurgery under general anesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Randomized comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>After approval from Institutional Review Board and Ethical Committee, 100 patients of 18\u201370 years of age, of either sex, posted for elective neurosurgery under general anesthesia, requiring right subclavian vein cannulation were included in our study. They were randomly divided into two groups: abducted arm position (group 1-AG) and neutral arm position (group 2-NG) using sealed envelope technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      First attempt success rate was higher in AG group compared to NG group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value- 0.741). Times taken (seconds) for cannulation in NG and AG group, catheter misplacement and hematoma (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value- 0.37,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value- 0.37,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value- 1, respectively) were lesser in AG Group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>For USG-guided infraclavicular subclavian vein cannulation, abducted arm position, and neutral arm position in terms of first attempt success rate, number of attempts and associated complications has comparable results; however, further studies with larger group of patients are required to assess the overall advantage of abducted arm position over neutral arm position.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_32_23","type":"journal-article","created":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T05:01:33Z","timestamp":1697259693000},"page":"418-422","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of Success Rate of Abducted and Neutral Arm Position for Right Infraclavicular Subclavian Vein Cannulation Under Real-Time Ultrasound Guidance in Patients Undergoing Elective Neurosurgery Under General Anesthesia"],"prefix":"10.4103","volume":"26","author":[{"given":"Nirmala","family":"Choudhary","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neerja","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meena","family":"Kumari","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohandeep","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10,13]]},"reference":[{"key":"R2-20240901","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1097\/ALN.0b013e3181ac461f","article-title":"Supraclavicular approach is an easy and safe method of subclavian vein catheterization even in mechanically ventilated patients:Analysis of 370 attempts","volume":"111","author":"Czarnik","year":"2009","journal-title":"Anesthesiology"},{"key":"R3-20240901","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1093\/bja\/aes497","article-title":"Misplaced central venous catheters:Applied anatomy and practical management","volume":"110","author":"Gibson","year":"2013","journal-title":"Br J Anaesth"},{"key":"R4-20240901","doi-asserted-by":"crossref","first-page":"658","DOI":"10.5811\/westjem.2015.7.26248","article-title":"Central venous catheter intravascular malpositioning:Causes, prevention, diagnosis, and correction","volume":"16","author":"Roldan","year":"2015","journal-title":"West J Emerg Med"},{"key":"R5-20240901","first-page":"555","article-title":"Central venous catheters. 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