scholarly journals Ultrasound-Guided Subclavian Vein Cannulation in Neonate via Supraclavicular Approach

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Onur Balaban ◽  
Tayfun Aydın
Keyword(s):  
Subclavian Vein ◽  
Ultrasound Guidance ◽  
Jugular Vein ◽  
Venous Cannulation ◽  
Central Venous Cannulation ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Supraclavicular Approach ◽  
Vein Cannulation ◽  
Landmark Technique

Central venous cannulation of infants may be challenging. Ultrasonography is recommended and has been found superior to classic landmark technique in pediatric central venous cannulation. The cannulation of the subclavian vein using supraclavicular approach under real-time ultrasound guidance is a novel technique. It may have advantages over ultrasound-guided jugular vein cannulation in specific patients. We report a case of 3200-gram 20-day-old anencephalic neonate who had a diffuse generalized edema. The neonate was cannulated successfully via subclavian vein using supraclavicular approach under ultrasound guidance.

scholarly journals Unusual Complications of Ultrasound Guided Central Venous Cannulation

2019 ◽  
Author(s):  
Sonu Sama ◽  
Sanjay Agarwal ◽  
Vijay Adabala ◽  
Michael Leonard Anthony
Keyword(s):  
Continuous Monitoring ◽  
Ultrasound Guidance ◽  
Venous Catheter ◽  
Venous Cannulation ◽  
Central Venous Cannulation ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Common Procedure ◽  
Open Surgical Procedure ◽  
Landmark Technique

Central venous catheter (CVC) insertion is a common procedure in operation theaters and intensive care units (ICU). The procedure is performed through anatomical landmark technique, open surgical procedure, and ultrasound-assisted insertion. In the 1990s, ultrasound guidance of CVC insertion has been advocated as a means to reduce mechanical complications and placement failures compared with the landmark technique. Still CVC complications can be related to insertion, indwelling, or extraction. There is a need for continuous monitoring to avoid possible risk factors so as to minimize the morbidity and mortality.

scholarly journals The Venerable Subclavian Line

2021 ◽  
Vol 24 (5) ◽  
pp. E925-E934
Author(s):  
Nicholas Teman ◽  
Charles Hobson ◽  
Reid Tribble ◽  
Curt Tribble
Keyword(s):  
Subclavian Vein ◽  
Central Line ◽  
Venous Cannulation ◽  
Central Venous Cannulation ◽  
Central Venous ◽  
Central Lines ◽  
Supraclavicular Approach ◽  
Vein Cannulation ◽  
Line Insertion ◽  
Complex Patients

In this treatise, we will address one of the higher-risk procedures, subclavian vein cannulation, that a practitioner may undertake in the care of complex patients. All cardiothoracic surgeons and their trainees will need, on occasion, to put in central lines in a variety of circumstances, including in the operating room, in the intensive care unit, in emergency circumstances, and, occasionally, when other practitioners have been unsuccessful in their attempts to place a central line. We will describe, in detail, the anatomy of the subclavian vein, the preparation of the patient for subclavian vein cannulation, the infraclavicular approach to cannulation of the vein, and a few notes about the supraclavicular approach to the subclavian vein. It is self-evident that the priorities of central venous cannulation include safety of insertion, minimizing clot formation, and avoiding infection. We will dwell primarily on the principles of safe subclavian line insertion.

scholarly journals A Study of Malposition of Central Venous Catheter – A Comparative Study between Ultrasound Guided and Anatomical Landmark Technique

2018 ◽  
Vol 2 (3) ◽  
pp. 277-281
Author(s):  
Lalit Kumar Rajbanshi ◽  
Sambhu Bahadur Karki ◽  
Batsalya Arjyal
Keyword(s):  
Real Time ◽  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Venous Catheter ◽  
Anatomical Landmark ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Catheter Tip ◽  
Landmark Technique

Introduction: Central venous catheterization is a routine procedure for long-term infusion therapy and central venous pressure measurement. Sometimes, the catheter tip may be unintentionally placed at the position other than the junction of superior vena cava and right atrium. This is called malposition and can lead to erroneous pressure measurement, increase risk of thrombosis, venous obstruction or other life threatening complications like pneumothorax, cardiac temponade.Objectives: This study aimed to observe the incidence of the malposition and compare the same between ultrasound guided catheterization and blind anatomical landmark technique.Methodology: This study was a prospective comparative study conducted at the intensive care unit of Birat Medical College and Teaching Hospital for two-year duration. All the catheterizations were done either with the use of real time ultrasound or blind anatomical landmark technique. The total numbers of central venous catheterization, the total incidences of malposition were observed. Finally the incidences were compared between real time ultrasound guided technique and blind anatomical landmark technique.Results: In two-year duration of the study, a total of 422 central venous cannulations were successfully done. The real time ultrasound was used for 280 cannulations while blind anatomical landmark technique was used for 162 patients. The study observed various malposition in 36 cases (8.5%). The most common malposition was observed for subclavian vein to ipsilateral internal jugular vein (33.3%) followed by subclavian to subclavian vein (27.8%) and internal jugular to ipsilateral subclavian vein (16.7%). In four patients the catheter had a reverse course in the internal jugular vein while the tip was placed in pleural cavity in three cannulations. There was coiling of the catheter inside left subclavian vein in one patient. The malposition was significantly reduced with the use of the real time ultrasound (P< 0.001). However there is no significant difference in the incidence of the various malposition between ultrasound guidance technique and blind anatomical landmark technique when compared individually.Conclusion: The malposition of the central venous catheter tip was common complication with the overall incidence of 8.5%. The most common malposition was subclavian vein to internal jugular vein. The use of real time ultrasound during the catheterization procedure can significantly reduced the risk of malposition.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 277-281

scholarly journals Ultrasound guided versus land mark technique for internal jugular central venous catheterization in cardiac surgical patients- a randomized trial

2016 ◽  
Vol 3 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Santosh Sharma Parajuli ◽  
Jeju Nath Pokharel
Keyword(s):  
Internal Jugular Vein ◽  
Central Venous Catheterization ◽  
Jugular Vein ◽  
Venous Cannulation ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Successful Cannulation ◽  
Venous Catheterization ◽  
Complications Rate ◽  
Landmark Technique

Background: Catheterization of internal jugular vein can be achieved by either anatomical landmark technique or the ultrasound guided technique. The objective of our study is to find out if ultrasound guided technique could be beneficial in placing central venous catheters by improving the success rate by reducing the number of attempts, decreasing the access time and decreasing the complications rate in comparison to the landmark technique.Methods: Fifty patients scheduled for cardiac surgery requiring central venous cannulation of the right internal jugular vein were divided into two groups: ultrasound guided group ‘U’ and the landmark group ‘L’, each consisting of 25 patients with age more than 15 years. The outcomes were compared in terms of success rate, time taken for successful cannulation and rate of complications.Results: The two groups were comparable in terms of age, weight, heart rate and blood pressure. The mean number of attempts for successful cannulation was 1.08±0.277 and 1.40±0.764 (p=0.055), the time taken in seconds for successful cannulation was 108.56±27.822 and 132.08±72.529 (p=0.137) and the overall complication rate was 0% (0 out of 25) and 32% (8 out of 25) (p=0.02) in the ultrasound guided and the landmark technique group respectively.Conclusion: Ultrasound guided central venous catheterization of internal jugular vein is comparable to the landmark technique in terms of number of attempts and the time required for successful cannulation. Ultrasound guided technique is much safer than the landmark technique to reduce the overall complications rate during central venous cannulation.

scholarly journals Central Venous Cannulation of the Internal Jugular Vein Using Ultrasound-Guided and Anatomical Landmark Techniques

2016 ◽  
Vol 6 (3) ◽  
Author(s):  
Mehdi Fathi ◽  
Azra Izanloo ◽  
Saeed Jahanbakhsh ◽  
Mehryar Taghavi Gilani ◽  
Ali Majidzadeh ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Anatomical Landmark ◽  
Venous Cannulation ◽  
Central Venous Cannulation ◽  
Ultrasound Guided ◽  
Central Venous

Right vocal cord paralysis after internal jugular vein cannulation

1989 ◽  
Vol 103 (4) ◽  
pp. 424-424 ◽  
Author(s):  
D. W. Sim ◽  
M. R. I. Robertson
Keyword(s):  
Vocal Cord ◽  
Internal Jugular Vein ◽  
Vocal Cord Paralysis ◽  
Jugular Vein ◽  
Neurological Complications ◽  
Venous Cannulation ◽  
Central Venous Cannulation ◽  
Central Venous ◽  
Internal Jugular Vein Cannulation ◽  
Vein Cannulation

AbstractNeurological complications are rare after central venous cannulation. We report a case of right vocal cord paralysis after internal jugular vein cannulation. The mechanism of neural injury is discussed.

scholarly journals Complications during Ultrasound Guided Internal Jugular Vein Cannulation in ICU and OT Patients

2021 ◽  
Vol 6 (3) ◽  
pp. 170-172
Author(s):  
Shallu Chaudhary ◽  
Ravikant Dogra ◽  
Ramesh Kumar
Keyword(s):  
Internal Jugular Vein ◽  
Ultrasound Guidance ◽  
Jugular Vein ◽  
Venous Pressure ◽  
Short Axis ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Internal Jugular Vein Cannulation ◽  
Vein Cannulation ◽  
Axis View

This study was carried out in 80 patients admitted in the ICU and OT of IGMC Shimla. They were divided into 2 groups of 40 patients each. Internal jugular venous cannulations were done using ultrasound guided techniques (short axis and long axis view). The complications encountered during cannulation were noted. All the patients from both the groups were successfully cannulated by the operator under ultrasound guidance. Artery punctures occurred in 3 patients which was successfully managed and the cannulations were reattempted and were successful. None of the cannulation was abandoned. Keywords: ultrasound guided internal jugular vein cannulation, central venous pressure, internal jugular vein cannulation

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