Research Article
Volume 6 Issue 7 - 2020
Ultrasound-Guided Catheterisation of Axillary Vein of a Small Size
Aleksey Karavaev*
Pokrov City Hospital, Saint-Petersburg, Russia
*Corresponding Author: Aleksey Karavaev, Pokrov City Hospital, Saint-Petersburg, Russia.
Received: March 16, 2020; Published: June 30, 2020




Abstract

Introduction: It is recommended nowadays to perform invasive procedures under ultrasound guidance. Efficacy profile for axillary/subclavian vein catheterization, however, was not shown to improve under ultrasound guidance according to the results of six meta-analyses. Small size is an obvious obstacle to catheterization of any vessel and should be taken into account during the procedure.

Aim: To study safety and effectiveness profile of ultrasound-guided catheterisation of Axillary Vein of a Small Size.

Materials and Methods: Ultrasound-guided catheterisation of axillary vein of a small size was performed using optimised technique in 12 patients.

Results: Technique was successful at first skin and vein puncture without needle redirections in 11 out of 12 cases, mean time to guidewire insertion was 171 ± 6s. There were no mechanical complications.

Conclusion: Optimised technique for ultrasound-guided catheterisation of axillary vein of a small size is effective and safe and can be introduced into clinical practice.

Keywords: Central Vein Catheterization; Subclavian Vein; Axillary Vein; Ultrasound-Guided Catheterization; Long-Axis View; Cross-Sectional Area

References

  1. Brass P., et al. “Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization”. Cochrane Database of Systematic Reviews (2015).
  2. Lalu MM., et al. “Ultrasound-Guided Subclavian Vein Catheterization: A Systematic Review and Meta-Analysis”. Critical Care Medicine 43 (2015): 1498-1507.
  3. Wu SY., et al. “Real-time two-dimensional ultrasound guidance for central venous cannulation: A metaanalysis”. Anesthesiology (2013): 361-375.
  4. Randolph AG., et al. “Ultrasound guidance for placement of central venous catheters: A meta-analysis of the literature”. Critical Care Medicine (1996): 2053-2058.
  5. Hind D., et al. “Ultrasonic locating devices for central venous cannulation: meta-analysis”. British Medical Journal 327 (2003): 361.
  6. Calvert N., et al. “Ultrasound for central venous cannulation: economic evaluation of cost-effectiveness”. Anaesthesia (2004): 5.
  7. Fragou M., et al. “Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: A prospective randomized study”. Critical Care Medicine 39 (2011): 1607-1612.
  8. Vezzani A., et al. “A randomized clinical trial of ultrasound-guided infra-clavicular cannulation of the subclavian vein in cardiac surgical patients: short-axis versus long-axis approach”. Intensive Care Medicine 43 (2017): 1594-1601.
  9. Parienti J-J., et al. “Intravascular Complications of Central Venous Catheterization by Insertion Site”. The New England Journal of Medicine 373 (2015): 1220-1229.
  10. McGee DC., et al. “Preventing complications of central venous catheterization”. The New England Journal of Medicine 348 (2003): 1123-1133.
  11. Kim HJ., et al. “Comparison of the neutral and retracted shoulder positions for infraclavicular subclavian venous catheterization: a randomized, non-inferiority trial”. British Journal of Anaesthesia 111 (2013): 191-196.
  12. Kang M., et al. “Influence of shoulder position on central venous catheter tip location during infraclavicular subclavian approach”. British Journal of Anaesthesia 106 (2011): 344-347.
  13. Kim H., et al. “The effect of head position on the cross-sectional area of the subclavian vein”. Anesthesia and Analgesia 126 (2018): 1946-1948.
  14. Kim JT., et al. “The influence of passive leg elevation on the cross-sectional area of the internal jugular vein and the subclavian vein in awake adults”. Anaesthesia and Intensive Care 36 (2008): 65-68.
  15. Kwon M-Y., et al. “The effects of the Trendelenburg position and intrathoracic pressure on the subclavian cross-sectional area and distance from the subclavian vein to pleura in anesthetized patients”. Anesthesia and Analgesia 117 (2013): 114-118.
  16. Sadek M., et al. “The Influence of Arm Positioning on Ultrasonic Visualization of the Subclavian Vein: An Anatomical Ultrasound Study in Healthy Volunteers”. Anesthesia and Analgesia 123 (2016): 129-132.
  17. Gu YJ., et al. “Effect of lumbar elevation on dilatation of the central veins in normal subjects”. American Journal of Emergency Medicine (2018).
  18. Kashani HH. “Statistical Versus Clinical Significance in Subclavian Vein Cross-Sectional Area: Is a 0.10-cm2 Difference Really Meaningful or Just an Example of False Precision?” Anesthesia and Analgesia 127 (2018): e111.
  19. Mey U., et al. “Evaluation of an ultrasound-guided technique for central venous access via the internal jugular vein in 493 patients”. Support Care Cancer 11 (2003): 148-155.
  20. Bodenham AR. “Ultrasound-guided subclavian vein catheterization: beyond just the jugular vein”. Crit Critical Care Medicine 39 (2011): 1819-1820.
  21. Marino P. “Marino’s The ICU Book”. 4th Wolters Kluwer Health/Lippincott Williams and Wilkins; n.d.
  22. Pittiruti M., et al. “How to make the axillary vein larger? Effect of 90° abduction of the arm to facilitate ultrasound-guided axillary vein puncture”. The Journal of Critical Care 33 (2016): 38-41.
  23. Ahn JH., et al. “Influence of arm position on catheter placement during real-time ultrasound-guided right infraclavicular proximal axillary venous catheterization”. British Journal of Anaesthesia 116 (2016): 363-369.
  24. Park H-P., et al. “Influence of orientations of guidewire tip on the placement of subclavian venous catheters”. Acta Anaesthesiologica Scandinavica 49 (2005): 1460-1463.
  25. Ablordeppey EA., et al. “Diagnostic Accuracy of Central Venous Catheter Confirmation by Bedside Ultrasound Versus Chest Radiography in Critically Ill Patients: A Systematic Review and Meta-Analysis”. Critical Care Medicine 45 (2017): 715-724.
  26. Alrajab S., et al. “Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis”. Critical Care 17 (2013): R208.
  27. Baad M., et al. “Clinical Significance of US Artifacts”. Radiographics 37 (2017): 1408-1423.
  28. National Institute for Clinical Excellence (NICE). “Guidance on the use of ultrasound locating devices for placing central venous catheters” (2002).
  29. Nassar B., et al. “Trendelenburg position does not increase cross-sectional area of the internal jugular vein predictably”. Chest 144 (2013): 177-182.
Citation: Aleksey Karavaev. “Ultrasound-Guided Catheterisation of Axillary Vein of a Small Size”. EC Anaesthesia 6.7 (2020): 22-27.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


May Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the May issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before May 24, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk