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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Breschan, C; Graf, G; Jost, R; Stettner, H; Feigl, G; Neuwersch, S; Stadik, C; Koestenberger, M; Likar, R.
A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants.
Anesthesiology. 2018; 128(1):38-43
Doi: 10.1097/ALN.0000000000001871
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Breschan Christian
- Co-authors Med Uni Graz
- Feigl Georg
- Köstenberger Markus
- Likar Rudolf
- Neuwersch-Sommeregger Stefan Matthias
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- Abstract:
- BACKGROUND: The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the brachiocephalic vein in preterm infants. METHODS: The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the brachiocephalic vein. By using a strict in-plane approach the brachiocephalic vein was cannulated by advancing a 22- or 24-gauge iv cannula from lateral to medial under the long axis of the ultrasound probe under real-time ultrasound guidance into the vein. RESULTS: One hundred and forty-two cannulations in infants weighing between 0.59 and 2.5 kg (median: 2.1; CI: 2.0 to 2.2) were included. Ultimate success rate was 94% (134 of 142). One cannulation attempt was required in 100 (70%) patients, two attempts in 21 (15%), and three attempts in 13 (9%). The smaller the weight of the infant the more attempts were needed. More attempts also were needed for the right brachiocephalic vein, which was primarily targeted in 75 (53%) neonates. One (1%) inadvertent arterial puncture was noted. CONCLUSIONS: This supraclavicular, in-plane, real-time, ultrasound-guided cannulation of the brachiocephalic vein seems to be a convenient and effective method to insert central venous catheters in preterm infants.
- Find related publications in this database (using NLM MeSH Indexing)
- Brachiocephalic Veins - diagnostic imaging, physiology
- Catheterization, Central Venous - methods
- Female - administration & dosage
- Humans - administration & dosage
- Infant, Extremely Low Birth Weight - physiology
- Infant, Newborn - administration & dosage
- Infant, Premature - physiology
- Male - administration & dosage
- Retrospective Studies - administration & dosage
- Treatment Outcome - administration & dosage
- Ultrasonography, Interventional - methods