Ultrasound-guided infraclavicular axillary vein cannulation: a useful alternative to the internal jugular vein

O’Leary, Rebecca A.; Ahmed, Shadia; McLure, H. A.; Oram, John F.; Mallick, A.; Bhambra, B; Bodenham, Andrew

doi:10.1093/bja/aes262

Cited by 64 publications

(63 citation statements)

References 22 publications

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“…However, the expected duration of catheterization is important, because the cumulative risk of infectious and thrombotic complications increases with increasing catheter exposure, whereas the risk of mechanical complications does not. Furthermore, the mechanical complications associated with subclavian catheter insertion can be limited by ultrasono-graphic guidance 28,29 and physician experience with the procedure. 30 Pneumothorax, which accounted for most of the difference in mechanical complications among insertion sites in our study, can be diagnosed promptly and treated immediately.…”

Section: Discussionmentioning

confidence: 99%

Intravascular Complications of Central Venous Catheterization by Insertion Site

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Intravascular Complications of Central Venous Catheterization by Insertion Site

et al. 2015

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“…Ultrasound‐guided needle placement for CSF collection has been described in horses at the cisterna magna, between the first and second cervical vertebrae and in the lumbosacral space . In human medicine, ultrasound guidance is considered to reduce the risks of the procedure and to increase the operator's confidence and it is routinely used for a large number of technically difficult or risky procedures in anaesthesiology for CSF punctures, vessel cannulations, and nerve blocks . Impact and usefulness of ultrasound guidance has been compared to landmark techniques for different procedures in human medicine with positive or rather mixed results .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Ultrasound‐guided vs. Standard Landmark Techniques for Training Novice Operators in Placing Needles Into the Lumbar Subarachnoid Space of Canine Cadavers

Etienne

Delguste

Busoni

2016

Vet Radiology Ultrasound

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The standard technique for placing a needle into the canine lumbar subarachnoid space is primarily based on palpation of anatomic landmarks and use of probing movements of the needle, however, this technique can be challenging for novice operators. The aim of the current observational, prospective, ex vivo, feasibility study was to compare ultrasound-guided vs. standard anatomic landmark approaches for novices performing needle placement into the lumbar subarachnoid space using dog cadavers. Eight experienced operators validated the canine cadaver model as usable for training landmark and ultrasound-guided needle placement into the lumbar subarachnoid space based on realistic anatomy and tissue consistency. With informed consent, 67 final year veterinary students were prospectively enrolled in the study. Students had no prior experience in needle placement into the lumbar subarachnoid space or use of ultrasound. Each student received a short theoretical training about each technique before the trial and then attempted blind landmark-guided and ultrasound-guided techniques on randomized canine cadavers. After having performed both procedures, the operators completed a self-evaluation questionnaire about their performance and self-confidence. Total success rates for students were 48% and 77% for the landmark- and ultrasound-guided techniques, respectively. Ultrasound guidance significantly increased total success rate when compared to the landmark-guided technique and significantly reduced the number of attempts. With ultrasound guidance self-confidence was improved, without bringing any significant change in duration of the needle placement procedure. Findings indicated that use of ultrasound guidance and cadavers are feasible methods for training novice operators in needle placement into the canine lumbar subarachnoid space.

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“…Sechzehn Jahre später beschrieben wiederum englische Anästhesisten [21] die Darstellung der V. axillaris im Ultraschall und argumentierten, dass sie einen grö-ßeren Abstand von der A. axillaris hat, weiter von der Lunge entfernt ist und daher mehr Sicherheit für eine ZVK-Anlage bietet. Die gleiche Arbeitsgruppe [22] berichtete später von 2586 konsekutive Patienten, denen ein V. axillaris Katheter ultraschallgesteuert gelegt wurde; in 0,41 % der Fälle kam es zu einer arte- …”

Section: Abb 5 8 Fall 4; Zvk-fehllage Nach Transvaskulärer Perforationunclassified