Real-time ultrasound-guided axillary vein cannulation in children: a randomised controlled trial.
Anaesthesia
; 72(12): 1516-1522, 2017 Dec.
Article
en En
| MEDLINE
| ID: mdl-28990161
ABSTRACT
The axillary vein is a good site for ultrasound-guided central venous cannulation in terms of infection rate, patient comfort and its anatomical relationship with the clavicle and lungs. We compared real-time ultrasound-guided axillary vein cannulation with conventional infraclavicular landmark-guided subclavian vein cannulation in children. A total of 132 paediatric patients were randomly allocated to either ultrasound-guided axillary vein (axillary group) or landmark-guided subclavian vein (landmark group). The outcomes measured were success rate after two attempts, first-attempt success rate, time to cannulation and complication rate. The success rate after two attempts was 83% in the axillary group compared with 63% in the landmark group (odds ratio 2.85, 95%CI 1.25-6.48, p = 0.010). The first-attempt success rate was 46% for the axillary group and 40% for the landmark group (p = 0.274) and median time to cannulation was 156 s for the axillary group and 180 s for the landmark group (p = 0.286). There were no differences in complication rates between the two groups, although three episodes of subclavian artery puncture occurred in the landmark group (p = 0.08). We conclude that axillary vein cannulation using a real-time ultrasound-guided in-plane technique is useful and effective in paediatric patients.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Vena Axilar
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Cateterismo Venoso Central
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Ultrasonografía Intervencional
Tipo de estudio:
Clinical_trials
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Observational_studies
Límite:
Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
Anaesthesia
Año:
2017
Tipo del documento:
Article