Ultrasound-guided brachiocephalic vein catheterization in infants weighing less than five kilograms. Issue 6 (November 2015)

• Record Type: Journal Article
• Authors: Aytekin, Cüneyt; Özyer, Umut; Harman, Ali; Boyvat, Fatih
• Is Part Of: Journal of vascular access. Volume 16:Issue 6(2015)
• Page Start: 512
• Page End: 514
• Publication Date: 2015-11
• Subjects: Brachiocephalic vein -- Catheterization -- Infants -- Ultrasound guided; Arterial catheterization -- Periodicals; Intravenous catheterization -- Periodicals; 612.13
• DOI: 10.5301/jva.5000385
• Languages: English
• ISSNs: 1129-7298

Abstract

Purpose: To describe our experience with the use of ultrasound-guided supraclavicular brachiocephalic vein approach for central vein catheterization in infants weighing less than 5 kg. Methods: A retrospective review was performed for infants who underwent ultrasound-guided central vein catheterization from January 2012 to November 2014. Infants weighing less than 5 kg with supraclavicular brachiocephalic vein access were included in the study. Indications for central venous access, venous access side, catheter type and complications were evaluated. Results: Thirty-four catheterizations in 34 infants weighing from 1.5 to 4.9 kg (median 3.48 kg) were included in the study (aged 11 days to 7 months and 10 days, weight range 1.5 to 4.9 kg). Technical success rate was 97% (33 of 34 infants). No technical or clinical major complications were observed. Conclusions: Ultrasound-guided supraclavicular brachiocephalic vein access is a favorable alternative for central venous catheterization in low-weight infants with regard to high technical success rate and absence of major complications.