Pietro Bertini1, Massimo Frediani. 1. School of Anesthesia and Intensive Care Medicine, University of Pisa, Pisa, Italy. pietro.bertini@gmail.com
Abstract
PURPOSE: Ultrasound-guided (USG) central vein cannulation has become very popular among anesthesiologists and critical care physicians in the last decade and it has been advocated as the gold standard practice for internal jugular vein (IJV) catheterization. METHODS: We report a technique used at our second level hospital for cannulating either subclavian vein or innominate vein using a supraclavicular (SCV) approach under real time ultrasound guidance for elective positioning of long, medium or short-term central venous catheters (CVC). We report one year of practice. RESULTS: A total of 347 intravascular devices were positioned; successful USG SCV cannulation with no complication, failure or malposition was reported in 119 cases. CONCLUSIONS: The SCV approach under ultrasound guidance is feasible and safe.
PURPOSE: Ultrasound-guided (USG) central vein cannulation has become very popular among anesthesiologists and critical care physicians in the last decade and it has been advocated as the gold standard practice for internal jugular vein (IJV) catheterization. METHODS: We report a technique used at our second level hospital for cannulating either subclavian vein or innominate vein using a supraclavicular (SCV) approach under real time ultrasound guidance for elective positioning of long, medium or short-term central venous catheters (CVC). We report one year of practice. RESULTS: A total of 347 intravascular devices were positioned; successful USG SCV cannulation with no complication, failure or malposition was reported in 119 cases. CONCLUSIONS: The SCV approach under ultrasound guidance is feasible and safe.
Authors: Rafael Vilhena de Carvalho Fürst; Afonso César Polimanti; Sidnei José Galego; Maria Claudia Bicudo; Erik Montagna; João Antônio Corrêa Journal: World J Surg Date: 2017-03 Impact factor: 3.352