TY - JOUR T1 - Subclavian site should be preferred for central venous access JF - Evidence Based Nursing JO - Evid Based Nurs SP - 126 LP - 126 DO - 10.1136/eb-2015-102269 VL - 19 IS - 4 AU - Bruno Mourvillier AU - Aguila Radjou AU - Jean-Francois Timsit Y1 - 2016/10/01 UR - http://ebn.bmj.com/content/19/4/126.abstract N2 - Commentary on: Parienti JJ, Mongardon N, Mégarbane B, et al., 3SITES Study Group. Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med 2015;373:1220–9.OpenUrlCrossRefPubMedSubclavian site should be preferred for central venous access (CVA) with a low risk of pneumothorax.Excluding patients before randomisation represents a selection bias. Post hoc sensitivity analysis may reduce the bias without fully balancing it. An adjudication committee, unaware of study-group assignments, may compensate for the absence of feasible blindness.Infection, thrombosis and mechanical adverse events are complications of central venous catheterisation. Catheter-related bloodstream infection (CRBI) has a significant impact on morbidity, mortality and health costs.1 Randomised controlled trials (RCT) found that subclavian access was associated with a lower … ER -