Canalización del tronco braquiocefálico guiada por ecografía en neonatos y lactantes

Oulego-Erróz, Ignacio; Alonso-Quintela, Paula; Domínguez, Patricia; Rodríguez-Blanco, Silvia; Muñíz-Fontán, Manoel; Muñoz-Lozón, Ana; López-Blanco, Gloria; Rodrı́guez-Núñez, Antonio

doi:10.1016/j.anpedi.2015.03.013

Cited by 13 publications

(4 citation statements)

References 18 publications

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“…To date, ultrasound (US) is the method of choice for locating vessels and guiding venous punctures in adult and pediatric patients because it increases the odds of success while reducing the number of surgical attempts as well as the associated complications. [4,5] The internal jugular vein (IJV) and subclavian vein (SCV) are the most commonly used sites for US-guided CVC insertion in adult patients. Recently, brachiocephalic vein (BCV) cannulation from the supraclavicular area was proposed, with potential advantages in neonates and infants.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of ultrasound-guided cannulation via the right brachiocephalic vein in adult patients

Xia¹,

Sun

Bai

et al. 2018

Medicine

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Central venous catheter (CVC) insertion is difficult to perform and is a high-risk operation; ultrasound (US)-guided cannulation helps increase the odds of success while reducing the associated complications. The internal jugular vein (IJV) and subclavian vein (SCV) are the most commonly sites in US-guided CVC insertion. In the present study, we evaluated the safety and efficacy of US-guided supraclavicular right brachiocephalic vein (BCV) cannulations in adult patients.Between January 2016 and December 2017, 428 adult patients requiring 536 CVC insertions underwent ultrasound-guided right BCV cannulation. The success rate and complications related to indwelling catheters were analyzed.The technical success rate was 98.32% (527/536). The procedure was successful at the first try in 511 cases (95.34%). The mean operation time was 13.26 ± 3.34 minutes. The mean length of catheter introduction was 13.57 ± 3.53 cm. Incidence of intraoperative complications was 2.61%. For 3 patients, the procedure was terminated due to pneumothorax (PNX), and in 11 arterial punctures there were self-limiting hematomas. The incidence of postprocedure complications was 5.97% (32/536). These complications included catheter-related infections (n = 18) and thromboses (n = 14). Insertion lasted an average of 10.68 ± 8.77 days.Supraclavicular, in-plane, US-guided cannulation of the right BCV is an effective and safe method for inserting central venous catheters in adult patients. It provides another option for catheter access to boost clinical performance in central venous catheterization.

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Section: Introductionmentioning

confidence: 99%

Efficacy and safety of ultrasound-guided cannulation via the right brachiocephalic vein in adult patients

Xia¹,

Sun

Bai

et al. 2018

Medicine

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“…Vascular access of the brachiocephalic vein (BCV) by ultrasound (US) in pediatric patients was first reported in 2011 by Breschan et al 1 Since that date, the advantages over other vascular accesses in the cervicothoracic region have been described in different series and patient age groups. [2][3][4] Systematic evaluation through rapid central vein assessment (RaCeVA) 5 allows the evaluation of vessel permeability, vessel diameter, identification of neighboring structures, and especially vessel location and trajectory, information that is important to have before vascular access.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Subaortic left brachiocephalic vein and real-time ultrasound-guided puncture

et al. 2021

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We describe a subaortic left brachiocephalic vein, a congenital anomaly that can be suspected during the rapid central vein assessment before central venous catheterization. Since the vein descends vertically/obliquely rapidly from its origin, we suggest that the puncture should be made at a greater angle (50°–60°) than what is usually used to puncture this vein (20°–30°). Failure to identify this anomaly may cause a failed puncture or complications from the puncture of adjacent blood vessels.

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“…The IJV is small in diameter and gets occluded with minimal pressure applied by the transducer, thus limiting its successful cannulation. Oulego-Erroz et al[4] have reported successful cannulation of the BCV using USG-guided supraclavicular technique in six patients with an average weight of 2.1 kg and mean age of 1.9 months. Breschan et al[5] have reported successful placement of central venous catheters in the BCV in 98.9% of the 183 infants reviewed in their retrospective analysis.…”

mentioning

confidence: 99%