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Breschan, C; Graf, G; Jost, R; Stettner, H; Feigl, G; Neuwersch, S; Stadik, C; Koestenberger, M; Likar, R.
A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants.
Anesthesiology. 2018; 128(1):38-43
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Autor/innen der Med Uni Graz:
Breschan Christian
Feigl Georg
Köstenberger Markus
Neuwersch-Sommeregger Stefan Matthias

Dimensions Citations:

Plum Analytics:
The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the brachiocephalic vein in preterm infants. 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 a strict in-plane approach the brachiocephalic vein was cannulated by advancing a 22- or 24-gauge iv cannula from lateral to medial under the long axis of the ultrasound probe under real-time ultrasound guidance into the vein. One hundred and forty-two cannulations in infants weighing between 0.59 and 2.5 kg (median: 2.1; CI: 2.0 to 2.2) were included. Ultimate success rate was 94% (134 of 142). One cannulation attempt was required in 100 (70%) patients, two attempts in 21 (15%), and three attempts in 13 (9%). The smaller the weight of the infant the more attempts were needed. More attempts also were needed for the right brachiocephalic vein, which was primarily targeted in 75 (53%) neonates. One (1%) inadvertent arterial puncture was noted. This supraclavicular, in-plane, real-time, ultrasound-guided cannulation of the brachiocephalic vein seems to be a convenient and effective method to insert central venous catheters in preterm infants.
Find related publications in this database (using NLM MeSH Indexing)
Brachiocephalic Veins - diagnostic imaging
Brachiocephalic Veins - physiology
Catheterization, Central Venous - methods
Female -
Humans -
Infant, Extremely Low Birth Weight - physiology
Infant, Newborn -
Infant, Premature - physiology
Male -
Retrospective Studies -
Treatment Outcome -
Ultrasonography, Interventional - methods

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