ArticleJournal of anaesthesiology, clinical pharmacology
Comparison of ultrasound-guided brachiocephalic and internal jugular vein cannulation in neonates and infants: A prospective randomized controlled trial.
Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and Aims: Central venous cannulation in neonates and infants is technically challenging due to small vessel size and vein collapsibility. Although ultrasound-guided (USG) internal jugular vein (IJV) cannulation is commonly used, supraclavicular in-plane brachiocephalic vein (BCV) cannulation has emerged as a newer approach with several advantages because of its straighter course, larger diameter, and reduced collapsibility. The aim of this study was to compare the USG-guided in-plane IJV vs supraclavicular in-plane BCV cannulation in neonates and infants. Material and Methods: This prospective randomized controlled trial (RCT) was commenced after obtaining institutional ethical clearance (EC/OA-67/2022) and registered with CTRI (REF/2023/08/071780). A total of 80 neonates and infants satisfying the eligibility criteria were included for this study, with 40 each being randomly allotted either to group A (USG in-plane right IJV cannulation) or group B (USG supraclavicular in-plane left BCV cannulation). Written informed parental consent was obtained for all the participants. The primary outcome was 1 Results: First-attempt success rate was higher in BCV than in the IJV group (95% vs 77.50%, Conclusions: USG in-plane left BCV cannulation improved first-attempt success rate and cannulation time as compared to in-plane right IJV cannulation with a reduced number of attempts. Brachiocephalic central venous cannulation may have advantages over IJV access, especially in critically ill neonates and infants, making it a feasible and safe alternative to IJV.
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