Ultrasound-Guided Central Venous Cannulation in Infants Weighing Less than 5 Kilograms

Nardo, Matteo Di; Tomasello, C; Pittiruti, Mauro; Perrotta, Daniela; Marano, Marco; Cecchetti, Corrado; Pasotti, Elisabetta; Pirozzi, Nicola; Stoppa, Francesca

doi:10.5301/jva.2011.8309

Cited by 32 publications

(25 citation statements)

References 18 publications

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“…Another meta-analysis of randomized and non-randomized trials showed improved technical success with US guided cannulation although the authors reported a high risk of bias in most of the studies included. (7) Non-comparative studies have shown a technical success rate near 100% in US guided IJV cannulation in children (16)(17)(18)(19). The success rate of US guided IJV cannulation in our study was 83% which is lower than the aforementioned studies.…”

contrasting

confidence: 80%

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

Oulego-Erróz

Muñoz-Lozón

Alonso-Quintela

et al. 2016

Journal of Critical Care

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contrasting

confidence: 80%

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

Oulego-Erróz

Muñoz-Lozón

Alonso-Quintela

et al. 2016

Journal of Critical Care

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“…The authors described a head‐neck position similar to ours, but they evaluated the IJV at the level of the cricoid cartilage. In a similar study by Di Nardo et al 9 the RIJV was found to be anterolateral with respect to the CA in 66% and lateral in 28% of patients weighing <5 kg 9 . The authors did not mention the head‐neck position of the infants, but only reported that they applied the 30° Trendelenburg position in some patients.…”

Section: Discussionmentioning

confidence: 90%

Ultrasound‐guided anatomical evaluation of right internal jugular vein in children aged 0‐2 years: A prospective observational study

Üzümcügil

Ekinci

2020

Pediatric Anesthesia

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Background The right internal jugular vein is commonly preferred for central venous cannulation, and ultrasonographic assessment and guidance is the recommended technique for this procedure. Despite the safety and reliability of this technique, it requires specific training and experience as well as thorough knowledge of anatomy. Aim The position of the right internal jugular vein with respect to carotid artery and its transverse diameter free from overlap with the carotid artery were evaluated using ultrasound in patients aged 0‐2 years. Methods This single‐center, prospective, observational study included patients aged 0‐2 years who underwent elective surgery between July 2018 and July 2019. The diameters and anatomical position were evaluated using ultrasound. All parameters were compared between groups classified according to postmenstrual ages. The correlations of these parameters with weight and postmenstrual ages were analyzed. Results A total of 156 patients were included. The diameters (P < .001) and depth (P = .012) were smaller in patients with postmenstrual age <45 weeks. The anteroposterior diameter was significantly correlated with weight in patients with postmenstrual age <45 weeks, but not in older patients. Right internal jugular vein was lateral and anterolateral with respect to carotid artery in 51.3% and 42.9% of patients, respectively, and >80% of the transverse diameter was free from overlap with the carotid artery. Conclusion Our results support the current data for the high anatomical variability of the right internal jugular vein, highlighting the recommendation of the Rapid Central Vein Assessment (RaCeVA) protocol prior to and ultrasound guidance during catheterization of central veins.

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“…Therefore, blood aspiration was performed mostly by withdrawing the needle or angiocath, and sometimes, the posterior wall of the IJV was punctured using the transfixation technique. 11,12 Although puncturing the posterior wall of the IJV carries the risk of accidental puncture of the artery, there were no cases of arterial puncture in either group.…”

Section: Discussionmentioning

confidence: 95%

Seldinger vs modified Seldinger techniques for ultrasound-guided central venous catheterisation in neonates: a randomised controlled trial

Song

Kim

Lee

et al. 2018

British Journal of Anaesthesia

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Background: Central venous catheterisation in neonates is difficult. The purpose of this study was to compare the Seldinger and modified Seldinger techniques for ultrasound-guided internal jugular vein catheterisation in neonates. Methods: In this randomised, controlled trial, 120 neonates (1 month old) requiring central venous catheterisation under general anaesthesia were allocated into either the Seldinger (n¼60) or the modified Seldinger (n¼60) group. The primary outcome was the incidence of successful catheterisation on the first attempt. We also assessed the incidences of successful puncture on the first attempt, successful guide wire insertion on the first attempt, and successful final catheterisation. Results: The primary outcome, the incidence of successful catheterisation on the first attempt was higher in the modified Seldinger group than in the Seldinger group (83% vs 65%; relative risk¼1.282; 95% confidence interval, 1.032e1.594; P¼0.025). The incidence of successful guide wire insertion on the first attempt was also higher in the modified Seldinger group (95% vs 75%; relative risk¼1.267; 95% confidence interval, 1.082e1.482; P¼0.003). Other incidences did not differ significantly between the groups. Conclusions: For ultrasound-guided internal jugular vein catheterisation in neonates, the modified Seldinger technique showed superiority over the Seldinger technique in terms of successful catheterisation and guide wire insertion on the first attempt. Clinical trial registration: NCT02688595.

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Ultrasound-Guided Central Venous Cannulation in Infants Weighing Less than 5 Kilograms

Abstract: Our experience suggests that ultrasound-guided central vein cannulation can be performed by well-trained physicians in infants weighing less than 5 kg without relevant risks.

Cited by 32 publications

References 18 publications

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

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

Ultrasound‐guided anatomical evaluation of right internal jugular vein in children aged 0‐2 years: A prospective observational study

Seldinger vs modified Seldinger techniques for ultrasound-guided central venous catheterisation in neonates: a randomised controlled trial

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