Ultrasound vascular access in children
Central venous accesses in neonates and pediatric patients represent a common and important procedure for both, intraoperative and postoperative care. Point-of-care ultrasound-guided technique has been proposed to increased success rate and efficiency, as well as to decrease the number of complications. Ultrasound-guided internal jugular vein cannulation is considering the “gold standard” in children. Another central venous cannulation option in neonates and children has been supraclavicular ultrasound-guided cannulation of the brachiocephalic vein using the in-plane approach. This article gives a review of the current evidence, the basic knowledge of the technique and the structured approach to follow for supraclavicular ultrasound-guided brachiocephalic vein access in children and neonates.
Acosta CM, Tusman G. Ultrasound-guided brachiocephalic vein access in neonates and pediatric patients. Rev Esp Anestesiol Reanim. 2021 Apr 27:S0034-9356(20)30299-1. English, Spanish. doi: 10.1016/j.redar.2020.10.016. Epub ahead of print. PMID: 33931264.