A new extra-thoracic, in-plane, longitudinal, real-time, ultrasound-guided access to the axillary vein
The Centers for Disease Control and prevention guidelines for the prevention of catheter-related bloodstream infections recommend using “a subclavian site, rather than an internal jugular or a femoral site, in adult patients” for central venous catheterization (CVC) . However, this preferred approach, whether supra- or infra-clavicular, is hindered by the increased risk of mechanical complications, especially pneumothorax.
Ultrasound-guided CVC, in real-time rather than static imaging (indirect guidance), increases the venipuncture and cannulation safety and success rates.
Here, we describe a new technique to access the axillary vein, outside of the thoracic cavity, using in plane, real-time, ultrasound guidance in mechanically ventilated patients.
Compliance with ethical standards
Conflicts of interest
The authors declare that they have no conflict of interest.
An approval by an ethics committee was not applicable.