Ultrasound-guided supraclavicular brachiocephalic vein catheterization in children: Syringe-free in-plane technique with micro-convex probe

Abstract

Central venous catheterization of children is often a challenging procedure due to small anatomical structures. Ultrasound guidance has been shown to reduce complications and improve cannulation success as compared with the landmark-based technique. In-plane techniques allow for longitudinal visualization of the vessels and real-time visualization of needle track during its advancement. When in-plane and syringe-free techniques are combined, advancement of the guidewire can also be visualized. We aim to introduce our supraclavicular approach for brachiocephalic vein cannulation in pediatric patients. A syringe-free and in-plane technique is used to cannulate the patients. The subclavian, jugular, and the brachiocephalic veins were visualized by endocavity micro-convex ultrasound probe as a Y shape during the cannulation procedure. We present a case series of successful cannulation by using this technique.

Syringe-Free, Long-Axis in-Plane Versus Short-Axis Classic out-of-Plane Approach for Ultrasound-Guided Internal Jugular Vein Catheter Placement in Critically Ill Children: A Prospective Randomized Study

“…To the authors' knowledge, even though studies have compared the long-axis in-plane with the traditional short-axis outof-plane approach in pediatric patients, 16 the literature contains no randomized controlled study on pediatric CVC placement with a syringe-free method other than a case series in which brachiocephalic vein catheterization was performed in children. 17 The present study's primary aim was to compare the performing time of these two techniques in critically ill children who required CVC placement. Secondary aims were first-pass success rate, number of needle passes, number of skin punctures, and complications.…”

Ultrasound-guided cannulation of the brachiocephalic vein in newborns: A novel approach with a supraclavicular view for tip navigation and tip location

“…Recently Babalan reported brachiocephalic vein catheterization by combining the syringe-free in-plane technique and Y shape visualization of IJV, subclavian vein (SV) and brachiocephalic vein (BCV) under a micro-convex US probe imaging in 12 children. 23 In our study we explore a different Y shape: right BCV, the conjunction with the contralateral BCV and SVC.…”

Ultrasound‐guided supraclavicular brachiocephalic vein access complicated with a kinked guidewire in a neonate

“…The US-guided in-plane syringe-free technique to visualize the advancement of guidewire out of the needle tip into the vein may help avoiding such mechanical complications. 5 We suggest considering real-time US guidance for the advancement of the guidewire during central cannulations.…”