A Novel Method for Ultrasound-Guided Central Catheter Placement—Supraclavicular Brachiocephalic Vein Catheterization Versus Jugular Catheterization: A Prospective Randomized Study

Aydın, Taner; Balaban, Onur; Turgut, Miray; Tokur, Mahmut; Musmul, Ahmet

doi:10.1053/j.jvca.2021.06.010

Cited by 8 publications

(12 citation statements)

References 31 publications

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“…Aydın et al . [ 6 ] noted no significant difference in cannulation time between the groups. They noted no significant difference in mean ease score of cannulation between BCV and IJV groups (8.78 ± 1.13 versus 8.67 ± 1.23 respectively).…”

Section: Discussionmentioning

confidence: 99%

“…A prospective study performed by Aydın et al . [ 6 ] compared, USG-guided in-plane supraclavicular approach to BCV versus out-of-plane approach to IJV cannulation in 86 patients. They noted an overall success rate of 97.6% with BCV cannulation and 97.7% with IJV cannulation and concluded that the novel supraclavicular approach is non-inferior to IJV cannulation.…”

Section: Discussionmentioning

confidence: 99%

“…Aydın et al . [ 6 ] noted good USG visualisation of the introducer needle and guide wire but catheter visualisation was not good in both groups. Many studies have compared the in-plane and out-of-plane access to CVC cannulation in different neck veins.…”

Section: Discussionmentioning

confidence: 99%

“…[ 5 ] Recently, studies have been done on supraclavicular BCV cannulation in adults and various approaches to BCV and their success rates have been described. [ 6 7 ] But there are not many prospective studies comparing USG-guided supraclavicular BCV with USG-guided IJV cannulation, for success rate, ease of insertion and complication rates.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of ultrasound-guided internal jugular vein cannulation versus supraclavicular approach to brachiocephalic vein cannulation– A prospective, single-blind, randomised study

Desai¹,

Gowda²

2022

Indian Journal of Anaesthesia

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Background and Aims: The internal jugular vein (IJV) is the most common site for central venous cannulation. Ultrasonography (USG)-guided brachiocephalic vein (BCV) cannulation has been described recently. The objective of this study was to compare the first attempt success rate, overall success rate and procedural ease between two techniques. Methods: This was a prospective, single-blinded, randomised clinical study. Patients were randomly allocated into two groups using computer generated random table. Group IJV included 55 patients of USG-guided out-of-plane approach to the right IJV cannulation and group BCV included 55 patients for USG-guided supraclavicular in-plane approach to right BCV cannulation. The success rate, number of redirections needed, vein and needle tip visualisation, cannulation time and complication rate were compared between the groups. Results: Demographic parameters were similar between the groups. Success rate of cannulation was 98.5% in IJV group and 100% in group BCV (P = 0.31). The first attempt success rate was 76.3% and 81.81% in IJV and BCV group, respectively (P = 0.42). IJV was collapsed in 14.5% cases and BCV was collapsed in 0.9% cases. The needle visualisation was better in BCV group (94.54%) compared to IJV (80%) (P = 0.02) group, which was statistically significant. The numbers of redirections of needle were more in IJV group. Thus the procedural ease was better with BCV than IJV. Conclusion: Supraclavicular USG-guided in-plane BCV cannulation is a good alternative to USG-guided out-of-plane IJV cannulation, because of good calibre of the vein and better needle visualisation in the BCV group.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of ultrasound-guided internal jugular vein cannulation versus supraclavicular approach to brachiocephalic vein cannulation– A prospective, single-blind, randomised study

Desai¹,

Gowda²

2022

Indian Journal of Anaesthesia

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“…They highlighted a few advantages of the BCV approach, including that the BCV was observed to be tented open regardless of haemodynamic status and respiratory phase. 26 A prospective randomised comparative study was conducted by Aydin et al, 27 where 86 CVCs were inserted into either the IJV (44 participants, 93% right IJV) or BCV (42 participants, 97.6% RBCV) in an ICU or operating theatre. There were similar overall success rates of 97.6% for the BCV group and 97.7% for the IJV group.…”

Section: Cvc Insertionmentioning

confidence: 99%

Review article: Feasibility of brachiocephalic vein central venous access for the resuscitation of shocked adult trauma patients: A literature review

Green,

Kim,

Hendel

et al. 2023

Emerg Medicine Australasia

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Venous access is a key component of managing haemorrhagic shock. Obtaining intravenous access in trauma patients is challenging due to circulatory collapse in shock. This literature review examines the feasibility of direct puncture and cannulation of the brachiocephalic veins (BCVs) for intravenous access in shocked adult trauma patients. Three literature searches were conducted. OVID Medline was searched for articles on the use of the BCVs for venous access in adults and on the BCVs in shock. A third systematic search of OVID Medline, OVID Embase and Cochrane Library was conducted on the use of the BCVs for access in shocked trauma patients. After full‐text review, 18 studies were selected for inclusion for the search on the use of the BCVs for access in adults. No studies met the inclusion criteria for the search on the BCVs in shock and BCV access in shocked trauma patients. The BCVs are currently used for central venous access, haemodialysis and totally implantable venous access devices (TIVADs) in adults. There is a preference for the right BCV (RBCV) over the left as the RBCV is more superficial, straighter, larger, has less anatomical variation and avoids the risk of thoracic duct puncture. The BCVs appear to be stabilised in shock by surrounding bony structures. The BCVs may provide a site for initial, rapid access in trauma resuscitation. Further research is required to determine if the BCVs collapse in shock and if venous access using the BCVs is feasible in a trauma resuscitation setting.

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Use of the Brachiocephalic Vein for Acute Dialysis Catheter Placement in the Patient with a Poor Caliber or Occluded Internal Jugular Vein

Ostroff

Connolly

2022

Ultrasound Guided Vascular Access

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A Novel Method for Ultrasound-Guided Central Catheter Placement—Supraclavicular Brachiocephalic Vein Catheterization Versus Jugular Catheterization: A Prospective Randomized Study

Cited by 8 publications

References 31 publications

Comparison of ultrasound-guided internal jugular vein cannulation versus supraclavicular approach to brachiocephalic vein cannulation– A prospective, single-blind, randomised study

Comparison of ultrasound-guided internal jugular vein cannulation versus supraclavicular approach to brachiocephalic vein cannulation– A prospective, single-blind, randomised study

Review article: Feasibility of brachiocephalic vein central venous access for the resuscitation of shocked adult trauma patients: A literature review

Use of the Brachiocephalic Vein for Acute Dialysis Catheter Placement in the Patient with a Poor Caliber or Occluded Internal Jugular Vein

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