Faculty Opinions recommendation of Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomized study.

Real-time ultrasound-guided subclavian vein cannulation in intensive care patients has higher success and lower complication rates compared to the traditional landmark method. Level of evidence: 1B (RCT with narrow CIs)

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Real-time in-plane ultrasound-guided supraclavicular approach to subclavian vein cannulation in cardiac surgery: An underused approach

Egyptian Journal of Anaesthesia ◽

10.1016/j.egja.2013.11.001 ◽

2014 ◽

Vol 30 (2) ◽

pp. 175-180 ◽

Cited By ~ 2

Author(s):

Tarek Marei

Keyword(s):

Cardiac Surgery ◽

Real Time ◽

Subclavian Vein ◽

Ultrasound Guided ◽

Supraclavicular Approach ◽

Vein Cannulation

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COMPARISON OF CENTRAL VENOUS CANNULATION OF RIGHT INTERNAL JUGULAR VEIN BY LANDMARK BASED APPROACH AND REAL-TIME ULTRASOUND GUIDED CANNULATION IN CRITICAL CARE PATIENTS.

International Journal of Advanced Research ◽

10.21474/ijar01/3896 ◽

2017 ◽

Vol 5 (4) ◽

pp. 923-926

Author(s):

Nusrat Jehan ◽

◽

MudasirMohammad Rangraiz ◽

Mubasher Ahmad ◽

◽

...

Keyword(s):

Critical Care ◽

Real Time ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Venous Cannulation ◽

Central Venous Cannulation ◽

Ultrasound Guided ◽

Central Venous ◽

Critical Care Patients

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Cannulation of the subclavian vein using real-time ultrasound guidance

Journal of the Intensive Care Society ◽

10.1177/1751143720901403 ◽

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.

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Optimization of Cannula Visibility during Ultrasound-Guided Subclavian Vein Catheterization, via a Longitudinal Approach, by Implementing Echogenic Technology

Critical Care Research and Practice ◽

10.1155/2012/617149 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6

Author(s):

Konstantinos Stefanidis ◽

Mariantina Fragou ◽

Nicos Pentilas ◽

Gregorios Kouraklis ◽

Serafim Nanas ◽

...

Keyword(s):

Real Time ◽

Subclavian Vein ◽

Randomized Study ◽

Technical Difficulty ◽

Longitudinal Axis ◽

Access Time ◽

Ultrasound Guided ◽

Bootstrap Analysis ◽

Mechanically Ventilated ◽

Longitudinal Approach

Objective. One limitation of ultrasound-guided vascular access is the technical challenge of visualizing the cannula during insertion into the vessel. We hypothesized that the use of an echogenic vascular cannula (EC) would improve visualization when compared with a nonechogenic vascular cannula (NEC) during real-time ultrasound-guided subclavian vein (SCV) cannulation in the ICU.Material and Methods. Eighty mechanically ventilated patients were prospectively enrolled in a randomized study that was conducted in a medical-surgical ICU. Forty patients underwent EC and 40 patients were randomized to NEC. The procedure was ultrasound-guided SCV cannulation via the infraclavicular approach on the longitudinal axis.Results. The EC group exhibited increased cannula visibility as compared to the NEC group (92%±3%versus85±7%, resp.,P<0.01). There was strong agreement between the procedure operators and independent observers (k=0.9, 95% confidence intervals assessed by bootstrap analysis = 0.87 to 0.93;P<0.01). Access time (12.1 s±6.5versus18.9 s±10.9) and the perceived technical difficulty of the ultrasound method (4.5±1.5versus7.5±1.5) were both decreased in the EC group compared to the NEC group (P<0.05).Conclusions. Echogenic technology significantly improved cannula visibility and decreased access time and technical complexity optimizing thus real-time ultrasound-guided SCV cannulation via a longitudinal approach.

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