Journal of Health and Medical Sciences
Published: 11 October 2021
Ultrasound Guided Brachiocephalic Vein Cannulation using Supraclavicular Approach
Kris Chandra, M. Budi Kurniawan
Padjajaran University, Indonesia
Download Full-Text Pdf
Keywords: Central Vein Cannulation, Complication, Critical Care, Supraclavicular Approach, Brachiocephalic Vein
The need of central vein cannulation has been increased since the increased case of critical patients and patients underwent high-risk patients. Supraclavicular approach of central vein cannulation is an alternative approach to central vein cannulation due to fewer anatomical variance, good longitudinal vein view, better visualization of needle during procedure, clear demarcation of landmarks, larger target area, better patient comfort, and fewer complications. This case study presents an ultrasound guided central vein cannulation using supraclavicular approach in 30 year old male patient diagnosed with septic shock, anemia, trombcytopenia, and electrolyte imbalance post laparotomy. The indication of central vein cannulation in the patient was to deliver volume resuscitation, to provide emergency vein access, to provide nutritional support, to deliver chemically caustic agents, and central vein pressure monitoring.
Umaña, M., García, A., Bustamante, L., Castillo, J. L., & Sebastián Martínez, J. (n.d.). Variations in the anatomical relationship between the common carotid artery and the internal jugular vein. Colombia Médica : CM, 46(2), 54–59.
Turcotte, S., Dubé, S., & Beauchamp, G. (2006). Peripherally inserted central venous catheters are not superior to central venous catheters in the acute care of surgical patients on the ward. World Journal of Surgery, 30(8), 1605–1619. https://doi.org/10.1007/s00268-005-0174-y
Tomar, G. S., Chawla, S., Ganguly, S., Cherian, G., & Tiwari, A. (2013). Supraclavicular approach of central venous catheter insertion in critical patients in emergency settings: Re-visited. Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 17(1), 10–15. https://doi.org/10.4103/0972-5229.112145
Hind, D., Calvert, N., McWilliams, R., Davidson, A., Paisley, S., Beverley, C., & Thomas, S. (2003). Ultrasonic locating devices for central venous cannulation: Meta-analysis. BMJ : British Medical Journal, 327(7411), 361.
MacDonnell, J. E., Perez, H., Pitts, S. R., & Zaki, S. A. (1992). Supraclavicular subclavian vein catheterization: Modified landmarks for needle insertion. Annals of Emergency Medicine, 21(4), 421–424. https://doi.org/10.1016/S0196-0644(05)82663-0
Czarnik, T., Gawda, R., Perkowski, T., & Weron, R. (2009). Supraclavicular Approach Is an Easy and Safe Method of Subclavian Vein Catheterization Even in Mechanically Ventilated Patients. Anesthesiology, 111(2), 334–339. https://doi.org/10.1097/ALN.0b013e3181ac461f