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
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
| Outcome | Group I | Group II | P value |
|---|---|---|---|
| BCV cannulation time | mean 35.46 ± 25.10 | mean 65.24 ± 40.26 | P < 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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