Ultrasound-guided infraclavicular axillary vein cannulation for central venous access

British Journal of Anaesthesia
A SharmaA Mallick

Abstract

Infraclavicular axillary vein cannulation is not commonly used for central venous access because identifying the surface landmarks is difficult. Ultrasound guided axillary vein puncture has not been well described. We assessed ultrasound imaging to guide catheterization of the infraclavicular axillary vein. In 200 consecutive patients we attempted to catheterize the axillary vein using ultrasound imaging. After successful venepuncture, a tunnelled Hickman line was inserted for long-term central venous access. Surface landmarks of the skin puncture site were measured below the clavicle. We measured the depth of the vein from the skin, the length of the guidewire from skin to carina and the final length of catheter that was inserted. The axillary vein was successfully punctured with the help of ultrasound imaging with first needle pass in 76% of patients. The axillary vein was catheterized successfully in 96% of the cases. Guidewire malposition was detected and corrected by fluoroscopy in 15% of cases. Complications included axillary artery puncture in three (1.5%) and transient neuralgia in two (1%) cases. Ultrasound-guided catheterization of the infraclavicular axillary vein is a useful alternative technique for central venous ...Continue Reading

References

Jan 1, 1990·Anesthesiology·B L Taylor, I Yellowlees
Feb 1, 1985·Acta Anaesthesiologica Scandinavica·R EerolaS Kaukinen
Apr 8, 1998·AJR. American Journal of Roentgenology·K M YeowA C Waltman
Apr 17, 2003·British Journal of Anaesthesia·S Galloway, A Bodenham
Aug 16, 2003·BMJ : British Medical Journal·Daniel HindSteven Thomas

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Citations

May 2, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kamran Z KhanWoolagasen R Pillay
Feb 17, 2010·Journal of Anesthesia·Taiichi ShinzatoWoo Jin Joo
Nov 8, 2012·British Journal of Anaesthesia·J TokumineY Fukuda
Apr 21, 2007·Critical Care Medicine·Tim Maecken, Thomas Grau
Mar 26, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Nikolaos MelasDimitrios Kiskinis
Nov 30, 2006·Critical Care : the Official Journal of the Critical Care Forum·Andrew R Bodenham
Jun 4, 2014·Clinical Medicine : Journal of the Royal College of Physicians of London·Daniel M SadoMartin Thomas
Nov 11, 2009·Case Reports in Medicine·F PazosB Walder
Jan 23, 2016·British Journal of Anaesthesia·A Bodenham, M Lamperti
Mar 12, 2016·Anesthesiology Research and Practice·Kyutaro KawagishiAlan Kawarai Lefor
Nov 28, 2012·The American Journal of Emergency Medicine·Sarah K SommerkampBrian D Euerle
May 25, 2012·Revista española de anestesiología y reanimación·M A García-DíazM Ayuso-Antolinos
Mar 15, 2012·Journal of Clinical Anesthesia·Luigi VetrugnoGiorgio Della Rocca
Feb 25, 2011·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C P LinW Z Sun
Oct 30, 2009·Best Practice & Research. Clinical Anaesthesiology·Ulrich SchwemmerNorbert Roewer
Jul 21, 2005·Anaesthesia·S GallowayA R Bodenham
Dec 12, 2007·Pacing and Clinical Electrophysiology : PACE·Ernest W Lau
Jun 23, 2007·Pacing and Clinical Electrophysiology : PACE·Ernest W Lau
Apr 23, 2013·The Journal of Emergency Medicine·Deanna R FordBrian D Euerle
Sep 30, 2010·Korean journal of anesthesiology·Tomoki Nishiyama
Nov 23, 2012·The Journal of Vascular Access·Sharon Griswold-TheodorsonDavid Wagner
Jun 21, 2011·Critical Care Medicine·Andrew R Bodenham
Apr 14, 2011·European Journal of Anaesthesiology·Ronan O'Leary, Andrew Bodenham
Dec 6, 2018·Pacing and Clinical Electrophysiology : PACE·Bradley C ClarkRobert H Pass
Jan 18, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Mattia LiccardoCarmine Ciardiello
Jul 10, 2007·International Journal of Laboratory Hematology·L BishopJ Treleaven
Jul 11, 2008·Current Opinion in Critical Care·Robin K Guillory, Oliver L Gunter
Jun 30, 2006·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Gen KuramochiHisanaga Moro
Aug 15, 2015·Critical Care Medicine·Daniele G BiasucciMauro Pittiruti
Mar 26, 2009·Current Opinion in Organ Transplantation·Antoni Sabate, Maylin Koo

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