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Published: 2024-01-15
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DOI: https://doi.org/10.52852/tcncyh.v170i9.1875
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Vol. 170 No. 9 (2023)
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Tuấn, T. A., Đông, N. T., & Quân, T. Q. (2024). 5. Comparison of ultrasound guided brachiocephalic and internal jugular catheter placement in infants ≤ 10 kg. Journal of Medical Research, 170(9), 37-45. https://doi.org/10.52852/tcncyh.v170i9.1875

5. Comparison of ultrasound guided brachiocephalic and internal jugular catheter placement in infants ≤ 10 kg

Ta Anh Tuan, Ngo Tien Dong, Thieu Quang Quan

Main Article Content

Abstract

While ultrasound-guided internal jugular placement is widely available, ultrasound-guided cannulation of the brachiocephalic vein (BCV) also shows to be feasible and safe. This study objectives was to compare ultrasound guided BCV and internal jugular vein (IJV) catheter placement in infants ≤ 10kg. This is a descriptive, prospective analysis of 153 patients (92 patients with BCV, 61 patients with IJV) with 192 times of central placement (116 times of BCV, 76 times of IJV). Age 4.5 (2 - 8.5) months, weight 6 (4 - 8) kg - median (IQR), the difference was not statistically significant related to age, weight, sex, PRISM III score, DIC, between the two groups. The overall success rate of the central cannulation was 95.8%, the first attempt success rate of the central cannulation was 75.5%, and the complication rate was 17.1%. The first attempt success rate of the BCV group was 2.6 times higher than that of the IJV group (95%CI: 1.3 - 5.2; p < 0.01) ,the number of needle punctures in the BCV group was statistics significantly lower compared with IJV group [1 (1 - 1) vs 1 (1 - 2)- media (IQR), p = 0.01]. There was no statistically significant difference in duration of placement [330 (261.5 - 402.5] vs 352 (267.5 - 521.3) median (IQR, p = 0.13] and in complications (15.5% vs 19.7%, p = 0.6) between the two groups. Conclusion: Ultrasound-guided BCV cannulation improved first attempt cannulation success rates and reduced puncture attempts compared to IJV cannulation, and there was no difference in complications.

Article Details

Keywords

Central venous catheter, ultrasound, the brachiocephalic vein

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