Ultrasound-guided infraclavicular axillary vein cannulation for central venous access

Sharma, Ashwani; Bodenham, Andrew; Mallick, A.

doi:10.1093/bja/aeh187

Cited by 111 publications

(77 citation statements)

References 11 publications

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“…Only a few articles [12] [13] have reported on US-guided for axillary vein puncture. Two studies imaged both the vein and the needle transversely, which offers poorer needle visualization.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Infraclavicular Axillary Vein Cannulation

García-Díaz¹,

Castro²

2017

IJCM

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Background and Objective: Percutaneous central venous cannulation is a common invasive procedure. In comparison with an external landmark technique, the advantages of ultrasound-guided venous access include direct visualization of the anatomy and in vivo visualization of venous cannulation. Methods: We evaluated an ultrasound-guided technique for infraclavicular axillary vein cannulation, focusing on its ease of use, success rate and complications rate. One hundred and twenty patients who submitted to central venous catheter placement were punctured using our technique. The patients were positioned so that their ipsilateral upper limb was abducted at 90˚ to the longitudinal axis, which makes it possible to visualize the infraclavicular vessels due to the elevation of the clavicle, thereby improving accessibility. Results: Cannulation was successful in all patients. The median time from the start of the first puncture (of the skin) until the aspiration of blood was 15 s (range 7 -135 s). Both infraclavicular axillary veins were cannulated, and the vein was punctured successfully at the first attempt in 95% of the patients, without complications during the procedure. Conclusion: We propose an ultrasound-guided infraclavicular approach of the axillary vein, with a high success rate and no complications in the present cohort.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Infraclavicular Axillary Vein Cannulation

García-Díaz¹,

Castro²

2017

IJCM

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“…The technique relied on the establishment of the location of the vein and adjacent structures with subsequent cannulation of the vein without using an ultrasound machine [15]. Two reports of the realtime ultrasoundguided cannulation of the axillary vein were published 10 years later [3,16]. Both studies were based on different techniques based on the mutual aspects of the ultrasound beam and the long axis of the needle, the shortaxis technique, and the longaxis technique.…”

Section: Application Of Ultrasonographymentioning

confidence: 99%

“…Sharma et al [16] performed a survey on the shortaxis technique among 200 patients subjected to implantation of a tunnelled catheter and ob tained an efficacy of 96%. Improper location of the catheter occurred for 15% of patients.…”

Section: Real-time Ultrasound Guidancementioning

confidence: 99%

Infraclavicular access to the axillary vein — new possibilities for the catheterization of the central veins in the intensive care unit

Gawda¹,

Czarnik²,

Łysenko

2016

Anaesthesiol Intensive Ther

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Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditio nally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable for critically ill patients. For this reason, the axillary vein seems to be a rational alternative approach. In this narrative review, we evaluate the usefulness of the infraclavicular access to the axillary vein. The existing evidence suggests that infraclavicular approach to the axillary vein is a reliable method of central vein catheterization, especially when performed with ultrasound guidance.

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“…An approach described in literature is puncture of the axillary vein as alternative to the subclavian vein, since it is easily visualized with US, more laterally located, associated with a longer distance between the probe and clavicula make dynamic insertion easier, with lower complication rates than the traditional method. (29)(30)(31) Peripheral veins should be used as first option in an emergency setting, however, some clinical situations, for instance, edematous patient, obesity, among others, make the insertion difficult. US, preferentially the linear ones (high resolution and discernment of structures with less than 1mm) make possible catheterization, using cross-sectional or longitudinal axes of basilica, cephalic and or axillary veins.…”

Section: Ultrasound Guided Venous Cannulationmentioning

confidence: 99%

Punção venosa guiada por ultra-som em unidade de terapia intensiva

Flato¹,

Petisco²,

Santos³

2009

Rev. bras. ter. intensiva

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Use of ultrasound introduced as part of intensive care therapy makes viable bedside invasive procedures and diagnosis. Due to portability, combined with team training, its use guarantees less complications related to insertion, as well as patients' safety. It also reduces severe conditions related to the catheter, such as pneumothorax among others. Probably, in a near future, as purchase of ultrasound equipment becomes easier and team training more adequate, this tool will become essential in daily clinical practice.

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Ultrasound-guided infraclavicular axillary vein cannulation for central venous access

Abstract: Ultrasound-guided catheterization of the infraclavicular axillary vein is a useful alternative technique for central venous cannulation with few complications.

Cited by 111 publications

References 11 publications

Ultrasound-Guided Infraclavicular Axillary Vein Cannulation

Ultrasound-Guided Infraclavicular Axillary Vein Cannulation

Infraclavicular access to the axillary vein — new possibilities for the catheterization of the central veins in the intensive care unit

Punção venosa guiada por ultra-som em unidade de terapia intensiva

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