Experience with multiple and simultaneous subclavian vein cannulations: safety and versatility.

The utilization of percutaneous catheterization of the subclavian vein has facilitated access to the central venous system and has been a valuable adjunct in the care of critically ill patients. A total of 60 patients in an intensive care setting had concurrent placement of multiple subclavian lines for fluid administration, hyperalimentation, hemodynamic monitoring, cardiac pacing, or hemodialysis over a 5-year period from 1979-84. This was done primarily because these gravely ill patients required a multitude of diagnostic and therapeutic interventions for their clinical management. Ease of applicability, versatility in use, and low morbidity for the patients were noted.