ULTRASONOGRAPHICALLY GUIDED SUBCLAVIAN VEIN CATHETERIZATION IN CRITICAL CARE OBSTETRICS AND GYNECOLOGIC ONCOLOGY

Invasive hemodynamic monitoring has become an integral part of intensi ve care management. Whereas the pulmonary artery catheter is the mains tay for determination of the hemodynamic profile and differentiation b etween cardiogenic and noncardiogenic forms of pulmonary edema, immedi ate central venous access in itself is of importance in rapid volume r eplacement in cases complicated by severe hypovolemia. Central venous catheters are also the preferred route of administration of total pare nteral nutrition to patients with cancer. We present our experience wi th real-time ultrasonographic guidance during subclavian vein catheter ization in critical care obstetrics and gynecologic oncology.