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Breschan, Christian; Graf, Gudrun; Jost, Robert; Stettner, Haro; Feigl, Georg; Neuwersch, Stefan; Stadik, Christian; Koestenberger, Markus; Likar, Rudolf

A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants

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  • Medientyp: E-Artikel
  • Titel: A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants
  • Beteiligte: Breschan, Christian; Graf, Gudrun; Jost, Robert; Stettner, Haro; Feigl, Georg; Neuwersch, Stefan; Stadik, Christian; Koestenberger, Markus; Likar, Rudolf
  • Erschienen: Ovid Technologies (Wolters Kluwer Health), 2018
  • Erschienen in: Anesthesiology, 128 (2018) 1, Seite 38-43
  • Sprache: Englisch
  • DOI: 10.1097/aln.0000000000001871
  • ISSN: 0003-3022
  • Entstehung:
  • Hochschulschrift:
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  • Beschreibung: <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec>
  • Zugangsstatus: Freier Zugang