Supraclavicular Ultrasound-Guided Catheterization of the Subclavian Vein in Pediatric and Neonatal ICUs

Abstract

Supraclavicular ultrasound-guided catheterization of the subclavian vein in pediatric and neonatal ICU seems to be a promising technique in the context of emergency. It is safe, reliable, with few early complications. Furthermore, it does not compromise the airways of the patient owing to the low level of sedation needed for its placement.

Comparison of ultrasound guided brachiocephalic and internal jugular vein cannulation in critically ill children

“…To date, 6 non comparative studies have been published in English literature. (8,9,11,12,20,21) First attempt success rate has been reported in 5 studies and has ranged from 65 to 82%. Overall success rate has ranged from 91% to 100%.…”

“…However, reported experience about BCV cannulation in the PICU is very limited. (8,9) The objective of this pilot study was to determine whether US (ultrasound) guided longitudinal in-plane supraclavicular cannulation of the brachiocephalic vein (BCV) improves cannulation success rates A C C E P T E D M A N U S C R I P T…”

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

“…Other studies have assessed placement in patients weighting <5 kg (7,8). Three studies noted that USG BCV cannulation is technically easy in children in the paediatric intensive care unit and neonatal intensive care unit (8)(9)(10).…”

Ultrasound-guided central venous access: which probe is preferred for viewing the subclavian vein using a supraclavicular approach?

“…In recent years, a growing number of studies have documented the high rates of success and low rates of complications using ultrasound via the supraclavicular approach to assist in subclavian line placement in both pediatric and adult populations [7,8,[10][11][12]. The largest, a retrospective series by Bertini et al [9], reported 100% success rate in the placement of 77 subclavian and 42 brachiocephalic lines without complications.…”

“…More recently, a growing number of adult and pediatric studies have documented the potential use and advantages of point-of-care ultrasound guidance in the cannulation of the subclavian vein (SCV) as well [2][3][4][5][6]. Furthermore, the supraclavicular approach to point-of-care ultrasound-guided SCV cannulation has demonstrated significant advantages with success and safety when compared with the more traditional "blind" infraclavicular approach [7][8][9][10][11][12][13].…”