scholarly journals Cannulation of the subclavian vein using real-time ultrasound guidance

2020 ◽  
Vol 21 (4) ◽  
pp. 349-354
Author(s):  
Thomas W Davies ◽  
Hugh Montgomery ◽  
Edward Gilbert-Kawai
Keyword(s):  
Real Time ◽  
Complication Rate ◽  
Subclavian Vein ◽  
Ultrasound Guidance ◽  
Central Venous Access ◽  
Venous Access ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Vein Cannulation

Cannulation of the subclavian vein has many advantages when compared to other anatomical sites for central venous access. Difficulty in its ultrasonic visualisation, and the perceived consequent ‘higher’ complication rate, mean that this approach has fallen out of favour. This barrier, however, may now have disappeared. In this article, we discuss the indications, contraindications and complications associated with subclavian vein cannulation, and present an ultrasound-guided approach to infraclavicular subclavian cannulation.

Landmark Versus Ultrasound-Guided Subclavian Central Venous Catheterization with a Combined Short and Long Axis Approach in an Intensive Care Setting

2017 ◽  
Vol 71 (1) ◽  
pp. 44-49
Author(s):  
Darko Sazdov ◽  
Marija Jovanovski Srceva ◽  
Zorka Nikolova Todorova
Keyword(s):  
Intensive Care ◽  
Real Time ◽  
Complication Rate ◽  
Ultrasound Guidance ◽  
Central Venous Catheterization ◽  
Short Axis ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Venous Catheterization ◽  
Out Of Plane

Abstract Introduction. Central venous catheterization of the subclavian vein can be achieved with a landmark and an ultrasound-guided method. Using ultrasound the vein can be catheterized with a long axis in plane or a short axis out of plane approach and a combined approach. The aim of the study was to compare the success, average number of attempts and mechanical complication rate between the landmark and the combined ultrasound-guided method. Methods. A total of 162 adult patients from the Intensive Care Unit at Clinical Hospital Acibadem-Sistina, Skopje were included in this prospective study. Patients randomized in the examined group (n=71) were catheterized with real-time ultrasound guidance with a combined short axis out of plane and long axis in plane method. Patients randomized in the control group (n=91) were catheterized with the landmark method. Subclavian vein was catheterized in both groups. Overall success, success on first attempt, number of attempts and complications at the moment of catheterization were the main outcome measures. Results. Catheterization using the landmark method was successful in 94.5% of patients, 65.9% of which during the first attempt. Cannulation using real-time ultrasound guidance was successful in all patients with a first pas success of 83.1%. The complication rate in the ultrasound group was 2.82% and 16.5% in the landmark group (p=0.004404). Conclusion. Real-time ultrasound guidance with a combined short axis out of plane and long axis in plane approach improves success, decreases number of attempts, and reduces mechanical complications rate.

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

2016 ◽  
Vol 34 (9) ◽  
pp. 1761-1764 ◽  
Author(s):  
Shadi Lahham ◽  
Sean P. Wilson ◽  
Mohammad Subeh ◽  
Michael Butterfield ◽  
Abdelhafez R. Albakri ◽  
...  
Keyword(s):  
Subclavian Vein ◽  
Central Venous Access ◽  
Venous Access ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Supraclavicular Approach

scholarly journals Ultrasound-Guided Subclavian Vein Cannulation in Neonate via Supraclavicular Approach

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Onur Balaban ◽  
Tayfun Aydın
Keyword(s):  
Subclavian Vein ◽  
Ultrasound Guidance ◽  
Jugular Vein ◽  
Venous Cannulation ◽  
Central Venous Cannulation ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Supraclavicular Approach ◽  
Vein Cannulation ◽  
Landmark Technique

Central venous cannulation of infants may be challenging. Ultrasonography is recommended and has been found superior to classic landmark technique in pediatric central venous cannulation. The cannulation of the subclavian vein using supraclavicular approach under real-time ultrasound guidance is a novel technique. It may have advantages over ultrasound-guided jugular vein cannulation in specific patients. We report a case of 3200-gram 20-day-old anencephalic neonate who had a diffuse generalized edema. The neonate was cannulated successfully via subclavian vein using supraclavicular approach under ultrasound guidance.

Ultrasound Guidance for Central Venous Access: Current Evidence and Clinical Recommendations

2019 ◽  
Vol 35 (3) ◽  
pp. 303-321 ◽  
Author(s):  
Akiva Leibowitz ◽  
Achikam Oren-Grinberg ◽  
Robina Matyal
Keyword(s):  
Ultrasound Guidance ◽  
Central Venous Access ◽  
Invasive Procedure ◽  
Anatomical Variations ◽  
Venous Access ◽  
Central Line ◽  
Current Evidence ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Level Of Training

Ultrasound-guided central line placement has been shown to decrease the number of needle puncture attempts, complication, and failure rates. In order to obtain successful central access, it is important to have adequate cognitive knowledge, workflow understanding, and manual dexterity to safely execute this invasive procedure. The operator should also be familiar with the anatomical variations, equipment operations, and potential complications and their prevention. In this article, we present a detailed review of ultrasound-guided central venous access. It includes a description of anatomy, operative technique, equipment operation, and techniques for specific situations. We describe the use of ultrasound guidance to avoid and identify various complications associated with this procedure. We have also reviewed recent recommendations and guidelines for the use of ultrasound for central venous access and the current evidence pertaining to the recommendations for the expected level of training, methodology, and metrics for establishing competency.

Ultrasound-guided external jugular vein cannulation for central venous access by inexperienced trainees

2010 ◽  
Vol 27 (3) ◽  
pp. 300-303 ◽  
Author(s):  
Clin I Mitre ◽  
Adela Golea ◽  
Iurie Acalovschi ◽  
Teodora Mocan ◽  
Ana-Maria Caea ◽  
...  
Keyword(s):  
Jugular Vein ◽  
Central Venous Access ◽  
Venous Access ◽  
External Jugular Vein ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Vein Cannulation

scholarly journals Comparative Analysis of Ultrasound Guided Central Venous Catheterization Compared to Blind Catheterization

PRILOZI ◽  
2017 ◽  
Vol 38 (2) ◽  
pp. 107-114 ◽  
Author(s):  
Darko Sazdov ◽  
Marija Jovanovski Srceva ◽  
Zorka Nikolova Todorova
Keyword(s):  
Real Time ◽  
Complication Rate ◽  
Ultrasound Guidance ◽  
Central Venous Catheterization ◽  
Femoral Vein ◽  
Venous Catheter ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Venous Catheterization ◽  
A Prospective Study

Abstract Introduction: Central venous catheterization is performed by the landmark method and ultrasound guided method. The purpose of the study was to compare the success, average number of attempts, average time to return of blood, and complication rate between the two methods. Material and Methods: This was a prospective study done in the Intensive Care Unit of the Acibadem Sistina Clinical Hospital, in Skopje. There were 400 patients in need of central venous catheter and they were prospectively randomized in two groups. The patients randomized in the examined-ultrasound group underwent real-time ultrasound-guided catheterization and the patients randomized in the control-landmark group were catheterized using the landmark method. Internal Jugular, Subclavian and Femoral vein were catheterized in both groups. The Overall success, success on the first attempt, time to the return of blood, number of attempts and complications at the moment of catheterization such as arterial puncture, pneumothorax and hematoma formation were the main outcome measures. Results: The catheterization using the landmark method was successful in 90.5% of patients, 60.5% of which during the first attempt. The cannulation using real-time ultrasound guidance was successful in 98% of patients with a first pass success of 77%. The complication rate with the landmark method was 14.5% versus 4% with real-time ultrasound guidance p<0.05(p=0.0008). Conclusion: Real-time ultrasound guidance improves success, decreases number of attempts, decreases average time to the return of blood and reduces mechanical complications rate.

Real-time Ultrasound-guided Axillary Vein Cannulation

2015 ◽  
Vol 3 (2) ◽  
pp. 42-47
Author(s):  
Bahareh Khatibi ◽  
Nav Parkash Sandhu
Keyword(s):  
Real Time ◽  
Upper Extremity ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Vein ◽  
Axillary Vein ◽  
Ultrasound Guided ◽  
Successful Cannulation ◽  
Vein Cannulation ◽  
Cannulation Site

ABSTRACT The axillary vein has been shown to be a safe and effective cannulation site for patients requiring central venous access. Compared to subclavian vein cannulation, axillary vein cannulation may reduce the rate of pneumothorax and hemothorax. Long-term complications, including the rate of infection or deep vein thrombosis, are comparable to internal jugular vein cannulation. The use of ultrasound for cannulation at traditional central vein sites, such as the internal jugular and femoral veins has been shown to aid in successful cannulation and potentially reduce complications. For axillary vein cannulation, however, when ultrasound is used only for localization of the axillary vein precannulation, it has not been shown to improve successful cannulation or decrease the rate of arterial puncture. Real-time ultrasound-guided axillary vein cannulation has been described and may increase the rate of successful cannulation and decrease complications. Various techniques of real-time ultrasound-guided axillary vein cannulation have been studied over the past decade. They differ in various characteristics including technique for needle imaging (in-plane vs out-of-plane) and upper extremity positioning (neutral vs abducted). The in-plane technique, which images the axillary vein in longitudinal view and allows the needle to be visualized at all times, has been found to result in greater first-attempt success and easier overall placement than the transverse view technique. As for upper extremity positioning, 90° abduction may result a decreased risk of catheter misplacement after proximal axillary vein cannulation. Ultrasound-guided axillary vein cannulation has many emerging uses, including use in oncology, cardiology, and nephrology. How to cite this article Khatibi B, Sandhu NP. Real-time Ultrasound-guided Axillary Vein Cannulation. J Perioper Echocardiogr 2015;3(2):42-47.

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