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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Breschan, C; Graf, G; Arneitz, C; Stettner, H; Feigl, G; Neuwersch, S; Stadik, C; Koestenberger, M; Holasek, S; Likar, R.
Feasibility of the ultrasound-guided supraclavicular cannulation of the brachiocephalic vein in very small weight infants: A case series.
Paediatr Anaesth. 2020; 30(8):928-933
Doi: 10.1111/pan.13928
Web of Science
PubMed
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FullText_MUG
- Leading authors Med Uni Graz
- Breschan Christian
- Co-authors Med Uni Graz
- Arneitz Christoph
- Feigl Georg
- Holasek Sandra Johanna
- 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 feasibility of the supraclavicular ultrasound-guided cannulation of the brachiocephalic vein in infants weighing less than 1500 g. 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 an in-plane approach the brachiocephalic vein was cannulated by using a 24-gauge intravenous cannula under real-time ultrasound guidance into the vein followed by the insertion of a 2-French single lumen catheter using the Seldinger technique. RESULTS: Forty-six brachiocephalic vein cannulations in infants weighing between 0.55 and 1.5 kg (Median: 1.2; 95%-CI: 0.9-1.2) were included. Ultimate success rate was 89.1% (41 out of 46). One cannulation attempt was required in 30 (65.2%) patients, 2 in 6 (13%) and 3 in 5 (10.8%), respectively. Smaller weight babies did not require significantly more cannulation attempts. The probability of successful cannulation on the first attempt increased significantly from 40% (2010) to more than 80% (2019) over the time course of this series. Median catheter dwell time was 15 days (95%-CI: 9-20) with one catheter being removed prematurely after 8 days due to obstruction. CONCLUSION: Supracalvicular in-plane real-time ultrasound-guided cannulation of the brachiocephalic vein seems to be a convenient and feasible option to provide large-bore central venous access for very small and sick babies.
- Find related publications in this database (using NLM MeSH Indexing)
- Brachiocephalic Veins - diagnostic imaging
- Catheterization, Central Venous - administration & dosage
- Feasibility Studies - administration & dosage
- Humans - administration & dosage
- Infant - administration & dosage
- Retrospective Studies - administration & dosage
- Ultrasonography, Interventional - administration & dosage
- Find related publications in this database (Keywords)
- brachiocephalic
- neonate
- subclavian
- ultrasound-guided
- vein