Comparison between ultrasound-guided supraclavicular and infraclavicular approaches for subclavian venous catheterization in children'a randomized trial

Byon, Hyo-Jin; Lee, G.-W.; Lee, J.-H.; Park, Y.-H.; Kim, H.-S.; Kim, C.-S.; Kim, J.-T.

doi:10.1093/bja/aet202

Cited by 85 publications

(83 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9 Ultrasound is frequently used for placement of central venous catheters in the internal jugular and femoral veins but less commonly used in subclavian venous access, perhaps due to poor visualization of the vein from acoustic shadowing from the overlying clavicle. 10 Our institute had limitations for ultrasound use in our study. Probably by using ultrasound, the success rate would have improved further and complications would have been fewer.…”

Section: Discussionmentioning

confidence: 95%

Comparison between supraclavicular and infraclavicular approaches for subclavian venous catheterization in adults

Govindswamy¹,

Shamanna²,

Gowda³

2017

Sri Lankan J Anaesthesiol

View full text Add to dashboard Cite

Introduction:The subclavian vein access has been the standard recommended approach for central venous catheterization both for short and long-term use. Aim is to compare the supraclavicular and infraclavicular approaches for subclavian venous cannulation in regard to success, attempts required, time taken and complications. Material and Methods: All patients satisfying the inclusion criteria were placed either in group supraclavicular (S) or group infraclavicular (I) approach for right subclavian vein and 7FrG cannula was cannulated using modified Seldinger technique under general anaesthesia. Results: Time taken for successful cannulation in Group (S) were 188.96 + 37.19 seconds and in Group (I) were 299.76 + 69.712 seconds which was statistically significant with p value of <0.001. Success of cannulation in Group (S) was 95 %, where as in Group (I) was 92.5%. In Group (S) 85% cannulas were secured in 1 st attempt, 10% in 2 nd attempt and 5% had failed cannulation. In Group (I) 67.5% were secured in 1 st attempt, 25% in 2 nd attempt and 7.5% had failed cannulation. Complications in terms of arterial puncture, malposition and pneumothorax were comparable. All these parameters were not statistically significant between the groups with p value >0.05. Supraclavicular approach is better than infraclavicular approach in terms of less mean time required for successful cannulation. Conclusion: Subclavian venous catheterization via the supraclavicular approach is aquicker method of central venous access in anesthesia.

show abstract

Section: Discussionmentioning

confidence: 95%

Comparison between supraclavicular and infraclavicular approaches for subclavian venous catheterization in adults

Govindswamy¹,

Shamanna²,

Gowda³

2017

Sri Lankan J Anaesthesiol

View full text Add to dashboard Cite

show abstract

“…Descriptions of USG cannulation of BCV may be confused with USG infraclavicular and supraclavicular cannulation techniques of the subclavian vein around the mid-portion of the clavicle (12)(13)(14)(15). A recent meta-analysis of 10 studies in adult patients noted that employing ultrasound guidance for subclavian cannulation significantly reduced adverse events (16).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Cannulation of the Brachiocephalic Vein in Infants and Children is Useful and Stable

Thompson¹

2017

Turk J Anaesth Reanim

View full text Add to dashboard Cite

Objective: Ultrasound-guided (USG) cannulation of the brachiocephalic vein (BCV) has been shown to be technically easy. We hypothesised that adoption of USG in-plane cannulation of the BCV as the primary approach to central venous cannulation at our institution would lead to central venous cannulation for a greater variety of indications. Methods:We performed retrospective, descriptive comparison of all central lines placed in patients aged <16 years who underwent any surgical operation during calendar years 2012-2014 at a small, free-standing children's hospital. The use and management of a central line was reviewed until the patient was discharged from the hospital. Analysis of the data was performed using simple comparative statistical methods. Results:Forty-nine patients were identified, 20 who weighed <10 kg and 29 who weighed >10 kg. Cannulation was successful in all patients. No significant late complications occurred. Catheters were well tolerated post-operatively, with no accidental dislodgement and no removal because of discomfort. The average duration of insertion was 6.3 (3-20±3.77) days. Nine catheters were placed for access during emergency surgery. 15 were placed in patients with difficult peripheral intravenous (PIV) access. The central lines remained in place until discharge in 79.6% of patients. In 40% of patients, the PIV catheter was removed, and the central line was retained because of preference. Total parenteral nutrition (TPN) was administered in 11 (22.4%) patients. Conclusion:Cannulation of BCV was well tolerated by children, with an average insertion duration of 6.3 days, which often lasted beyond the removal/failure of the PIV cannula. Catheters were useful for primary venous access during hospitalisation and for short TPN courses. Keywords: Brachiocephalic vein, central venous cannulation, paediatric, ultrasonographyAmaç: Ultrason rehberliğinde (USG) brakiyosefalik ven (BCV) kanülasyonunun teknik olarak zor olmadığı gösterilmiştir. Uygulama kolaylığı ve hasta rahatından dolayı, bizim kurumumuzda santral ven kanülasyonu için ilk yaklaşım olarak kabul edilmesinin, santral ven kanülasyonu endikasyonlarını genişletebileceğini varsaymaktayız.Yöntemler: 2012-2014 yılları arasında bağımsız bir çocuk hastanesinde herhangi bir cerrahi operasyon geçiren 16 yaş altındaki hastaların santral yolları retrospektif olarak incelendi. Hastaneden taburcu olana kadar yolların kullanımı ve yönetimi incelendi. Verilerin analizi karşılaştırmalı istatistik yöntemleri ile yapıldı. Bulgular: Kırk dokuz olgu belirlendi. Bunların 20'sinin ağırlığı 10 kg'ın altında iken, 29'unun ağırlığı 10 kg'ın üzerindeydi. Tüm vakalarda kanülasyon başarılıydı. Önemli geç komplikasyonlar görülmedi. Kateterler kazayla yerlerinden çıkmadan ve rahatsız-lık nedeniyle çıkarılmadan ameliyat sonrasında iyi tolere edildiler. Kateterlerin ortalama kalış süresi 6,3 gün (3-20±3,77) olarak bulundu. Dokuzunda acil cerrahide girişi sağlamak için yerleştirildi. On beş olguda bilinen veya karşılaşılan zor periferik intravenöz (PIV) giriş için...

show abstract

“…Ensayos randomizados y estudios observacionales en niños y adultos fueron encontrando que el uso de la ecografía para la punción de acceso venoso central reduce el tiempo de canulación venosa y los riesgos de complicaciones. Sin embargo, el nivel de beneficio varía de acuerdo (5)(6)(7)(8) a las habilidades del operador y del sitio anatómico .…”

Section: Discussionunclassified

Ultrasound-guided internal jugular vein catheterization: comparative study with the conventional external anatomical landmarks technique

Cabrera

2017

Rev. virtual Soc. Parag. Med. Int

View full text Add to dashboard Cite

Cateterización de la vena yugular interna guiada por ecografía: estudio comparativo con la técnica convencional por reparos anatómicos Ultrasound-guided internal jugular vein catheterization: comparative study with the conventional external anatomical landmarks technique ARTÍCULO ORIGINAL ARTÍCULO ORIGINALRev. virtual Soc. Parag. Med. Int. marzo 2017; 4 (1):57-65 RESUMENIntroducción: los catéteres venosos centrales son sondas intravasculares que se insertan en los grandes vasos venosos del tórax y abdomen. La técnica comúnmente realizada es la guiada por reparos anatómicos basada en la presunción de la ubicación de los vasos del cuello al identificar estructuras anatómicas externas. El uso de la ultrasonografía ha sido promovido como un método para reducir el riesgo de complicaciones durante la cateterización venosa central. Objetivos: comparar la eficacia de la técnica de inserción de catéteres venosos yugulares internos guiado por ecografía con la realizada por reparos anatómicos. Metodología: estudio experimental realizado en varones y mujeres, mayores de 18 años, en quienes estaba indicada la colocación de acceso venoso central yugular interno en forma programada, internados en las Cátedras de Clínica Médica, Unidad de Cuidados Intermedios y Unidad de Cuidados Intensivos del Hospital de Clínicas y en la Unidad de Cuidados Intensivos del Sanatorio Británico (Asunción). En cada caso fueron medidas las siguientes variables: tasa de éxito de colocación, número de intentos, tiempo de realización y complicaciones (hematomas, punción arterial y neumotórax). Resultados: 149 pacientes fueron considerados en este estudio, realizándose 90 vías venosas yugulares con guía ecográfica y 59 por la técnica habitual por reparos anatómicos. El tiempo de realización y el número de punciones en el grupo con guía ecográfica fue menor (p<0,001). No hubo diferencias estadísticamente significativas en éxito del procedimiento entre ambos grupos pero el realizado con guía ecográfica tuvo menor proporción de complicaciones: hematomas (p<0,01) y punción arterial (p 0,01). No se registró neumotórax en ninguno de los dos grupos. Conclusiones: la colocación de vía venosa central bajo guía ecográfica es superior sobre la técnica por reparos anatómicos considerando la menor proporción de complicaciones, la reducción en el número de intentos y menor tiempo de realización. Aunque el éxito del procedimiento sea similar, las implicancias para llegar a dicho objetivo bajo la técnica a ciegas se traducen en un incremento directo en las otras variables ya citadas en detrimento del paciente. Por lo tanto, siempre que esté disponible tanto el equipamiento necesario como el operador capacitado ésta será la técnica de elección.Palabras claves: acceso venoso central, ecografía, complicaciones, vena yugular interna. The following variables were measured: the rate of successful insertions, the number of attempts, the duration of catheterization (from puncture of EJV to external fixation of the catheter) and the complications (hematomas, arterial punc...

show abstract

Comparison between ultrasound-guided supraclavicular and infraclavicular approaches for subclavian venous catheterization in children'a randomized trial

Abstract: During SCV catheterization under US guidance in paediatric patients, the SC approach yielded a shorter puncture time and decreased the incidence of guidewire misplacement when compared with the IC approach.

Cited by 85 publications

References 13 publications

Comparison between supraclavicular and infraclavicular approaches for subclavian venous catheterization in adults

Comparison between supraclavicular and infraclavicular approaches for subclavian venous catheterization in adults

Ultrasound-Guided Cannulation of the Brachiocephalic Vein in Infants and Children is Useful and Stable

Ultrasound-guided internal jugular vein catheterization: comparative study with the conventional external anatomical landmarks technique

Contact Info

Product

Resources

About