Ultrasound-guided infraclavicular axillary vein cannulation for central venous access †

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Ultrasound-guided infraclavicular axillary vein cannulation for central venous access.

BACKGROUND 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. METHODS In 200 consecutive patients we attempted to catheterize the axillar...

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Ultrasound guided infraclavicular axillary vein cannulation, coming of age.

In this month’s journal Ahn and colleagues report the effect of arm abduction on the success of central catheter placement after ultrasound guided infraclavicular axillary vein (AXV) cannulation. We discuss these findings and reflect on the development of this particular route of access to central veins. This paper presents good evidence that arm abduction increases the success of central cathe...

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A new central venous access in Emergency Department: ultrasound-guided infraclavicular axillary vein

Results 52 year old woman addicted to parenteral drugs, stage C3 HIV with 2 weeks duration fever. On arrival had malaise, hypotensive, febrile, tachycardic... it was not possible to catheterize a peripheral vein we performed a central line cannulation: ultrasound-guided infraclavicular axillary vein. Less arterio-venous overlap and a greater distance between artery and vein and from vein to rib...

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Ultrasound-guided central venous access

Central venous catheterization is a critical component of management for the critically ill patient in the operating room and intensive care unit. When using ultrasound techniques for central venous access, access is achieved with fewer attempts, a reduced incidence of carotid artery punctures or 'hits', an increased success rate, and a decreased duration of procedure compared to the traditiona...

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Ultrasound-guided central venous access.

HYPOTHESIS Real-time ultrasound guidance should increase the success rate and lower the complication rate of central venous access in patients with relative contraindications to having the procedure performed. DESIGN Prospective case series. SETTING A community-based tertiary care hospital. PATIENTS Fifty-two patients were studied. Relative risks to central venous catheter insertion inclu...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2004

ISSN: 0007-0912

DOI: 10.1093/bja/aeh187