Pediatric anesthesia & critical care

Comparison between in-plane and out-of-plane techniques for ultrasound guided cannulation of the left brachiocephalic vein in pediatric population: A randomised controlled trial

Anaesth Crit Care Pain MedPublished Randomised controlled trial

Authors' conclusion

Compared to the out-of-plane approach of left BCV cannulation, US-guided in-plane cannulation of the left BCV increased the first-attempt success rate, decreased the number of puncture attempts, and decreased the time required for cannulation.

Study context

Population
Patients aged 0–1 year scheduled for elective central venous cannulation
Participants
100 patients
Comparison
Ultrasound (US)-guided in-plane vs out-of-plane cannulation of the left brachiocephalic vein (BCV)
  • Group In = 50
  • Group IIn = 50reference
Methodological detailsdouble-blinded
  • Double-blinded

Primary result

As reported in the abstract

First-attempt success rate

P < 0.001

Further findings

Total success rate · statistically insignificant

P > 0.05

Unsuccessful BCV cannulation

OutcomeGroup IGroup IIP value
BCV cannulation timemean 35.46 ± 25.10mean 65.24 ± 40.26P < 0.001

Unsuccessful BCV cannulation

Significantly higher in Group II than Group I

Safety

Hematoma development

Hematoma development

Significantly higher in Group II than Group I

Original publication

Comparison between in-plane and out-of-plane techniques for ultrasound guided cannulation of the left brachiocephalic vein in pediatric population: A randomised controlled trial. Anaesth Crit Care Pain Med. Published 19 May 2023. doi:10.1016/j.accpm.2023.101247

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