Nowadays anesthesiologists "look up"

Filippo, Alessandro Di; Romagnoli, Stefano

doi:10.23736/s0375-9393.23.17225-7

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…In addition, there are several approaches to improve the success rate of axillary venipuncture in patients with high BMI: (1) Use preoperative US or other imaging to guide the selection of the puncture site, as this can improve the success rate of puncture, and reduce the incidence of complications; (2) Use longer puncture needles, which effectively avoid additional punctures, reduce the discomfort of the patient and lowers the risk of vascular injury [25];…”

Section: Discussionmentioning

confidence: 99%

Association between BMI and the success rate of transaxillary venous port implantation: a retrospective cohort study

Shao

Zhang

Yang

et al. 2023

Preprint

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Background Fully implantable infusion ports are widely used for long-term chemotherapy in cancer patients. Previous studies have only focused on the analysis of complications associated with infusion port implantation, ignoring the causes of unsuccessful infusion port implantation. The purpose of this study was to investigate the association between BMI and the success rate of transaxillary intravenous port implantation in breast cancer patients. Materials and Methods To review 361 breast cancer patients who underwent intravenous port implantation from January 2021 to September 2021. Baseline data, surgical data, and complications were collected from the patients, and the success rate of puncture of the axillary vein was recorded. The logistic regression analysis and smoothed curve fitting were used to assess the relationship between body mass index (BMI) and the success rate of axillary venipuncture. In addition, subgroup analyses were performed to explore potential interactions. Results Under ultrasound guidance, 67.3% of patients (243/361) had an infusion port implanted by axillary vein puncture. There was a roughly linear relationship between BMI and the success rate of axillary venipuncture. In the multiple regression equation, BMI was significantly and negatively associated with the success rate of axillary venipuncture (OR = 0.83; 95%CI = 0.77–0.89; P＜0.001). Stratified analysis showed that the relationship between BMI and the success rate of axillary venipuncture was stable and unaffected by other variables. Conclusions The higher the patient's BMI, the higher the chance of difficult axillary venipuncture or failed cannulation.

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Section: Discussionmentioning

confidence: 99%

Association between BMI and the success rate of transaxillary venous port implantation: a retrospective cohort study

Shao

Zhang

Yang

et al. 2023

Preprint

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“…In the current study, the three cords of the plexus were located in a constant relationship with the axillary artery [ Figure 1 ], as described by Leurcharusmee[ 22 ], in contrast to Di Filippo's findings. [ 23 ] One of the disadvantages of infraclavicular blocks is the depth and the narrow-angle that the needle must follow. This means that it should be performed preferably by locoregional specialists with extensive experience in anatomy and ultrasound.…”

Section: Discussionmentioning

confidence: 99%