ArticleEuropean journal of pediatrics2020
Ultrasound-guided supraclavicular cannulation of the brachiocephalic vein may reduce central line-associated bloodstream infection in preterm infants.
Article in European journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 21 citations in OpenAlex.
- Effectiveness of the modified Seldinger technique for peripheral central catheter in newborns: a randomized clinical trial.Revista brasileira de enfermagem · 2024Trial
- Ultrasound-guided central venous access in the NICU: indications, insertion and management.European journal of pediatrics · 2026Review
- Ultrasound-guided central vascular access and device tunneling: neonatal European vascular access team-ESPR recommendation 4.Pediatric research · 2026Article
- Brachiocephalic centrally inserted central catheters in infants born < 32 weeks gestation and/or < 1500 g: a prospective comparison with epicutaneo-caval catheters.European journal of pediatrics · 2026Article
- Feasibility and procedural outcomes of ultrasound-guided brachiocephalic vein cannulation in neonates weighing less than 1,000 g: a prospective study.European journal of pediatrics · 2026Observational
- Insertion technologies for neonatal venous access: a scoping review.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Response to the Letter to the Editor: Central Venous Catheter in Pediatric Intensive Care: Anatomical Landmark or Ultrasound Guide?Journal of pediatric intensive care · 2024Article
- Co-administration of Intravenous Drugs: Rapidly Troubleshooting the Solid Form Composition of a Precipitate in a Multi-drug Mixture Using On-Site Raman Spectroscopy.Molecular pharmaceutics · 2023Article
- Chylothorax in newborns after cardiac surgery: a rare complication?European journal of pediatrics · 2023Observational
- Practice Patterns of Central Venous Catheter Placement and Confirmation in Pediatric Critical Care.Journal of pediatric intensive care · 2022Article
- Co-administration of drugs with parenteral nutrition in the neonatal intensive care unit-physical compatibility between three components.European journal of pediatrics · 2022Article
- Ultrasound-guided vascular access in the neonatal intensive care unit: a nationwide survey.European journal of pediatrics · 2022Article
- A new technique for difficult removal of a peripherally inserted central venous catheter (PICC) in a neonate.European journal of pediatrics · 2021Article
- Role of ultrasound-guided brachiocephalic venous cannulation for difficult venous cannulation in pediatric patients: A narrative review.Journal of anaesthesiology, clinical pharmacologyReview
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study was to assess the risk of central line-associated bloodstream infection (CLABSI) of ultrasound (US)-guided cannulation of the brachiocephalic vein (BCV) compared to standard epicutaneous cava catheters (ECCs) in preterm infants. This was a retrospective cohort study in preterm infants with a birth weight of less than 1500 g. Each BCV catheter was matched 1:3 with ECCs according to sex, birth weight, and year of insertion. The main outcome was the CLABSI density rate per 1000 days. Secondary outcomes included CLABSI episodes, CLABSI episodes per infant, and CLABSI/death. A multivariate Cox regression analysis was performed to assess whether the type of catheter (ECC vs. BCV) was associated with CLABSI risk. Ninety-six catheters (21 BCVs and 75 ECCs) in 79 infants were included (993 catheter days). BCV catheters were associated with a reduced CLABSI density rate compared to ECCs (3.05/1000 days vs 21.1/1000 days; p < 0.001). ECCs were associated with increased CLABSI risk compared to BCV catheters in multivariate analysis (hazard ratio 36; (95% CI, 2.5-511); p = 0.008).Conclusion: US-guided supraclavicular cannulation of the BCV was associated with a reduced risk of CLABSI compared to ECCs. This finding deserves further multicenter research. What is Known: • An epicutaneous-cava catheter (ECC) is commonly used in preterm infants for routine care (eg. delivery of nutrition and antibiotics) but this device may not suffice in infants who need high-intensity care (multiple drugs, hemodynamic monitoring, fluid resuscitation etc.). • Ultrasound-guided brachiocephalic vein (BCV) catheterization has shown a high success rate and few immediate complications in neonates and small infants but it has never been compared to standard ECCs. What is New: • When the operator in properly trained, US guided cannulation of the BCV in preterm infants is feasible, safe and may reduce the risk of CLABSI compared to standard ECCs. • This fact may expand the use of BCV catheters in selected high-risk preterm infants who need a large bore venous access.
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