Acosta C M, Tusman G
Servicio de Anestesia, Hospital Privado de Comunidad, Mar del Plata, Buenos Aires, Argentina.
Servicio de Anestesia, Hospital Privado de Comunidad, Mar del Plata, Buenos Aires, Argentina.
Rev Esp Anestesiol Reanim (Engl Ed). 2021 Dec;68(10):584-591. doi: 10.1016/j.redare.2020.10.011. Epub 2021 Nov 25.
Central venous accesses in neonates and pediatric patients represent a common and important procedure for both, intraoperative and postoperative care. Point-of-care ultrasound-guided technique has been proposed to increased success rate and efficiency, as well as to decrease the number of complications. Ultrasound-guided internal jugular vein cannulation is considering the "gold standard" in children. Another central venous cannulation option in neonates and children has been supraclavicular ultrasound-guided cannulation of the brachiocephalic vein using the in-plane approach. This article gives a review of the current evidence, the basic knowledge of the technique and the structured approach to follow for supraclavicular ultrasound-guided brachiocephalic vein access in children and neonates.
对于新生儿和儿科患者而言，中心静脉置管是术中及术后护理中一项常见且重要的操作。即时超声引导技术已被提出用于提高成功率和效率，并减少并发症的数量。超声引导下颈内静脉置管被认为是儿童置管的“金标准”。新生儿和儿童的另一种中心静脉置管选择是采用平面内入路进行锁骨上超声引导的头臂静脉置管。本文综述了当前的证据、该技术的基础知识以及在儿童和新生儿中进行锁骨上超声引导头臂静脉置管时应遵循的结构化方法。
