Ultrasound‐guided subclavian vein cannulation in infants: supraclavicular approach

Rhondali, O.; Attof, R.; Combet, Sylvie; Chassard, D.; Siqueira, Mathilde De Queiroz

doi:10.1111/j.1460-9592.2011.03614.x

Cited by 97 publications

(92 citation statements)

References 20 publications

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“…They studied placement in children aged 26 months to 8 years. In the same year, Rhondali et al (6) described placement in patients weighing <10 kg. Other studies have assessed placement in patients weighting <5 kg (7,8).…”

Section: Introductionmentioning

confidence: 99%

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

Thompson¹

2017

Turk J Anaesth Reanim

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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...

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Section: Introductionmentioning

confidence: 99%

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

Thompson¹

2017

Turk J Anaesth Reanim

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“…More recently, ultrasound-guided cannulation of the deep veins, i.e., the femoral (FeV), subclavian (SBV), internal jugular (IJV), and brachiocephalic (BCV) veins, has also been reported to be safe and relatively easy in pediatric ICUs and NICUs [1-8]. In such deep veins, large-bore polyurethane catheters (3–4 Fr) can be inserted.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Ultrasound Evaluation of the Diameter of Deep Veins in the Newborn: Results and Implications for Clinical Practice

et al. 2019

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Background: In adults and children, current guidelines recommend measuring the diameter of the vein before the insertion of central catheters, in order to match vein diameter with catheter caliber and thus reduce the risk of venous thrombosis. In the neonatal intensive care unit, central catheters are often used but the vein diameter is usually not considered. Method: We assessed the diameter of the most relevant deep veins in 100 newborns, using a strict protocol of ultrasound evaluation. Results: Mean gestational age of studied infants was 32 weeks and mean weight was 1,690 g. The mean diameter of the brachiocephalic vein was consistently ≥3 mm, with no significant difference between the right and the left side. The femoral vein diameter, on the other hand, was considerably smaller than 3 mm for infants with a weight < 2,000 g. Interobserver repeatability was found to be very high. Conclusion: Preprocedural ultrasound scan of veins is feasible and easy, also in newborns, and it should be recommended for optimizing central venous catheterization.

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“…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.…”

Section: Discussionmentioning

confidence: 97%

“…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].…”

Section: Introductionmentioning

confidence: 99%

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

Lahham

Subeh

et al. 2016

The American Journal of Emergency Medicine

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Ultrasound‐guided subclavian vein cannulation in infants: supraclavicular approach

Cited by 97 publications

References 20 publications

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

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

A Systematic Ultrasound Evaluation of the Diameter of Deep Veins in the Newborn: Results and Implications for Clinical Practice

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

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