A new percutaneous infraclavicular approach to the axillary vein.
نویسنده
چکیده
A new percutaneous infraclavicular approach for cannulating the axillary vein is described. The technique was devised using surface landmarks established by cadaver dissection. This is a relatively safe procedure with no risk of pneumothorax, provided that the tip of the needle remains inferior to the clavicle.
منابع مشابه
Infraclavicular access to the axillary vein - new possibilities for the catheterization of the central veins in the intensive care unit.
Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditionally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable for critically ill patients. For this reason, the axillary vein seems to be a rational alternative approach. In this narrative review, we evaluate the usefuln...
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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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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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ورودعنوان ژورنال:
- Anaesthesia
دوره 42 2 شماره
صفحات -
تاریخ انتشار 1987