Comparison between in-plane and out-of-plane techniques for ultrasound guided cannulation of the left brachiocephalic vein in pediatric population: A randomised controlled trial - 21/09/23
, Ajeet Kumar a, Poonam Kumari a, Kunal Singh a, Amit Kumar Sinha bAbstract |
Background and aims |
Brachiocephalic vein is a novel site for central venous cannulation in infants. It becomes useful in patients where the internal jugular vein lumen is small (e.g., volume deficient patient), patients with a history of multiple cannulations, and in whom subclavian puncture is contraindicated.
Methods |
In this randomized double-blinded study, 100 patients, aged between 0 and 1 year scheduled for elective central venous cannulation were recruited. The patients were allocated into two groups (50 patients in each). Group I patients had ultrasound (US) guided cannulation of the left brachiocephalic vein (BCV) by inserting a needle in-plane to the US probe from lateral to the medial direction, whereas Group II patients underwent cannulation of the BCV via an out-of-plane approach.
Results |
The first-attempt success rate was significantly higher in Group I (74%) than in Group II (36%) (p < 0.001). The total success rate was higher in group I (98%) than in group II (88%) however the difference was statistically insignificant (p > 0.05). The mean BCV cannulation time was significantly shorter in group I (35.46 ± 25.10) than in group II (65.24 ± 40.26) (p < 0.001). The rate of unsuccessful BCV cannulation (12%) and hematoma development (12%) was significantly higher in group II than in group I (2%).
Conclusion |
Compared to the out-of-plane approach of left BCV cannulation, US-guided in-plane cannulation of the left BCV increased the first-attempt success rate, decreased the number of puncture attempts, and decreased the time required for cannulation.
Le texte complet de cet article est disponible en PDF.Keywords : Brachiocephalic vein, Cannulation technique, Ultrasound
Plan
Vol 42 - N° 5
Article 101247- octobre 2023 Retour au numéro
Article précédent
- Intensity of one-lung ventilation and postoperative respiratory failure: A hospital registry study
- Aiman Suleiman, Basit A. Azizi, Ricardo Munoz-Acuna, Elena Ahrens, Tim M. Tartler, Luca J. Wachtendorf, Felix C. Linhardt, Peter Santer, Guanqing Chen, Jennifer L. Wilson, Sidhu P. Gangadharan, Maximilian S. Schaefer
- Effect of retropneumoperitoneum on cerebral and renal oxygen saturation during retroperitoneal robotic-assisted laparoscopic pyeloplasty (R-RALP) in a pediatric population: Preliminary results of a prospective observational study using a dedicated anesthetic protocol and Near-InfraRed Spectroscopy
- Stefania Franzini, Stefania Querciagrossa, Myriam Brebion, Dario Consonni, Thomas Blanc, Gilles Orliaguet
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?