Article Sidebar

PDF (Tiếng Việt)
Published: 2024-01-15
Abstract Views: 476
Views PDF (Tiếng Việt): 274
DOI: https://doi.org/10.52852/tcncyh.v170i9.1875
Issue
Vol. 170 No. 9 (2023)
Section
Các bài báo
How to Cite
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

References

1. Ares G, Hunter CJ. Central venous access in children: indications, devices, and risks. Curr Opin Pediatr. 2017; Jun. 29 (3): 340-346.
2. Lau CS, Chamberlain RS. Ultrasound-guided central venous catheter placement increases success rates in pediatric patients: a meta-analysis. Pediatr Res. 2016; 80:178–84.
3. Vinograd AM, Chen AE, Woodford AL, Fesnak S, Gaines S, Elci OU, et al. Ultrasonographic guidance to improve first-attempt success in children with predicted difficult intravenous access in the emergency department: a randomized controlled trial. Ann EmergMed. 2019; 74: 19–27.
4. Oulego-Erroz, et al. Ultrasound-guided cannulation of the brachiocephalicvein in neonates and infants. An Pediatr Barc. 2015; 03.013.
5. Mark E, et al. Ultrasound-Guided Cannulation of the Brachiocephalic Vein in Infants and Children is Useful and Stable. Turk J Anaesthesiol Reanim. 2017; 45: 153-7.
6. Ignacio Oulego-Erroz, MD, et al. Comparison of ultrasound guided brachiocephalic and internal jugular vein cannulation in critically ill children. Journal of Critical Care. 2016; 133–137.
7. Saugel et al. Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Critical Care. 2017; 21:225.
8. Merchaoui Z, Lausten-Thomsen U, Pierre F, Ben Laiba M, Le Saché N and Tissieres. Supraclavicular Approach to Ultrasound-Guided Brachiocephalic Vein Cannulation in Children and Neonates. Front. Pediatr. 2017; 5:211.
9. Pollack MM, Kantilal M Patel, Urs E Ruttiman. PRISM III: An updated pediatric risk of mortality Score. Crit Care Med. 1996; 24: 743-752.
10. Taylor FB Jr, Toh CH, Hoots WK, Wada H, Levi M, Scientific Subcommittee on Disseminated Intravascular Coagulation (DIC) of the International Society on Thrombosis and Haemostasis (ISTH). Thromb Haemost. 2001; 86(5): 1327.
11. Christian Breschan et al. A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants. Anesthesiology. 2018; 128:38-43.
12. Vafek, V.; Skˇríšovská, T.; Kosinová, M.; Klabusayová, E.; Musilová, T.; Kramplová, T.; Djakow, J.; Kluˇcka, J.; Kalina, J.; Štouraˇc, P. Central Venous Catheter Cannulation in Pediatric Anesthesia and Intensive Care: A Prospective Observational Trial. Children. 2022, 9, 1611.
13. Breschan C et al: Ultrasound-guided supraclavicular cannulation of the brachiocephalic vein in infants: A retrospective analysis of a case series. Paediatr Anaesth. 2012; 22:1062–7.
14. Guilbert AS, Xavier L, Ammouche C, Desprez P, Astruc D, Diemu-nsch P, et al. Supraclavicular ultrasound-guided catheterizationof the subclavian vein in pediatric and neonatal ICUs: a feasi-bility study. Pediatr Crit Care Med. 2013; 14:351.
15. Di Nardo M, Tomasello C, Pittiruti M, Perrotta D, Marano M,Cecchetti C, et al. Ultrasound-guided central venous cannula-tion in infants weighing less than 5 kilograms. J Vasc Access.2011; 12:321.