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Rudolf Likar - One of the best experts on this subject based on the ideXlab platform.

  • Feasibility of the ultrasound-guided supraclavicular cannulation of the Brachiocephalic Vein in very small weight infants: A case series.
    Paediatric anaesthesia, 2020
    Co-Authors: Christian Breschan, Gudrun Graf, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Christoph Arneitz, Sandra Holasek, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical feasibility of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in infants weighing less than 1500 g. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using an in-plane approach the Brachiocephalic Vein was cannulated by using a 24-gauge intravenous cannula under real-time ultrasound guidance into the Vein followed by the insertion of a 2-French single lumen catheter using the Seldinger technique. Results Forty-six Brachiocephalic Vein cannulations in infants weighing between 0.55 and 1.5 kg (Median: 1.2; 95%-CI: 0.9-1.2) were included. Ultimate success rate was 89.1% (41 out of 46). One cannulation attempt was required in 30 (65.2%) patients, 2 in 6 (13%) and 3 in 5 (10.8%), respectively. Smaller weight babies did not require significantly more cannulation attempts. The probability of successful cannulation on the first attempt increased significantly from 40% (2010) to more than 80% (2019) over the time course of this series. Median catheter dwell time was 15 days (95%-CI: 9-20) with one catheter being removed prematurely after 8 days due to obstruction. Conclusion Supracalvicular in-plane real-time ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and feasible option to provide large-bore central venous access for very small and sick babies.

  • A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants
    Anesthesiology, 2018
    Co-Authors: Christian Breschan, Gudrun Graf, Robert Jost, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in preterm infants. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using a strict in-plane approach the Brachiocephalic Vein was cannulated by advancing a 22- or 24-gauge iv cannula from lateral to medial under the long axis of the ultrasound probe under real-time ultrasound guidance into the Vein. Results One hundred and forty-two cannulations in infants weighing between 0.59 and 2.5 kg (median: 2.1; CI: 2.0 to 2.2) were included. Ultimate success rate was 94% (134 of 142). One cannulation attempt was required in 100 (70%) patients, two attempts in 21 (15%), and three attempts in 13 (9%). The smaller the weight of the infant the more attempts were needed. More attempts also were needed for the right Brachiocephalic Vein, which was primarily targeted in 75 (53%) neonates. One (1%) inadvertent arterial puncture was noted. Conclusions This supraclavicular, in-plane, real-time, ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and effective method to insert central venous catheters in preterm infants.

Christian Breschan - One of the best experts on this subject based on the ideXlab platform.

  • Feasibility of the ultrasound-guided supraclavicular cannulation of the Brachiocephalic Vein in very small weight infants: A case series.
    Paediatric anaesthesia, 2020
    Co-Authors: Christian Breschan, Gudrun Graf, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Christoph Arneitz, Sandra Holasek, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical feasibility of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in infants weighing less than 1500 g. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using an in-plane approach the Brachiocephalic Vein was cannulated by using a 24-gauge intravenous cannula under real-time ultrasound guidance into the Vein followed by the insertion of a 2-French single lumen catheter using the Seldinger technique. Results Forty-six Brachiocephalic Vein cannulations in infants weighing between 0.55 and 1.5 kg (Median: 1.2; 95%-CI: 0.9-1.2) were included. Ultimate success rate was 89.1% (41 out of 46). One cannulation attempt was required in 30 (65.2%) patients, 2 in 6 (13%) and 3 in 5 (10.8%), respectively. Smaller weight babies did not require significantly more cannulation attempts. The probability of successful cannulation on the first attempt increased significantly from 40% (2010) to more than 80% (2019) over the time course of this series. Median catheter dwell time was 15 days (95%-CI: 9-20) with one catheter being removed prematurely after 8 days due to obstruction. Conclusion Supracalvicular in-plane real-time ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and feasible option to provide large-bore central venous access for very small and sick babies.

  • A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants
    Anesthesiology, 2018
    Co-Authors: Christian Breschan, Gudrun Graf, Robert Jost, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in preterm infants. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using a strict in-plane approach the Brachiocephalic Vein was cannulated by advancing a 22- or 24-gauge iv cannula from lateral to medial under the long axis of the ultrasound probe under real-time ultrasound guidance into the Vein. Results One hundred and forty-two cannulations in infants weighing between 0.59 and 2.5 kg (median: 2.1; CI: 2.0 to 2.2) were included. Ultimate success rate was 94% (134 of 142). One cannulation attempt was required in 100 (70%) patients, two attempts in 21 (15%), and three attempts in 13 (9%). The smaller the weight of the infant the more attempts were needed. More attempts also were needed for the right Brachiocephalic Vein, which was primarily targeted in 75 (53%) neonates. One (1%) inadvertent arterial puncture was noted. Conclusions This supraclavicular, in-plane, real-time, ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and effective method to insert central venous catheters in preterm infants.

Georg Feigl - One of the best experts on this subject based on the ideXlab platform.

  • Feasibility of the ultrasound-guided supraclavicular cannulation of the Brachiocephalic Vein in very small weight infants: A case series.
    Paediatric anaesthesia, 2020
    Co-Authors: Christian Breschan, Gudrun Graf, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Christoph Arneitz, Sandra Holasek, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical feasibility of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in infants weighing less than 1500 g. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using an in-plane approach the Brachiocephalic Vein was cannulated by using a 24-gauge intravenous cannula under real-time ultrasound guidance into the Vein followed by the insertion of a 2-French single lumen catheter using the Seldinger technique. Results Forty-six Brachiocephalic Vein cannulations in infants weighing between 0.55 and 1.5 kg (Median: 1.2; 95%-CI: 0.9-1.2) were included. Ultimate success rate was 89.1% (41 out of 46). One cannulation attempt was required in 30 (65.2%) patients, 2 in 6 (13%) and 3 in 5 (10.8%), respectively. Smaller weight babies did not require significantly more cannulation attempts. The probability of successful cannulation on the first attempt increased significantly from 40% (2010) to more than 80% (2019) over the time course of this series. Median catheter dwell time was 15 days (95%-CI: 9-20) with one catheter being removed prematurely after 8 days due to obstruction. Conclusion Supracalvicular in-plane real-time ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and feasible option to provide large-bore central venous access for very small and sick babies.

  • A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants
    Anesthesiology, 2018
    Co-Authors: Christian Breschan, Gudrun Graf, Robert Jost, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in preterm infants. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using a strict in-plane approach the Brachiocephalic Vein was cannulated by advancing a 22- or 24-gauge iv cannula from lateral to medial under the long axis of the ultrasound probe under real-time ultrasound guidance into the Vein. Results One hundred and forty-two cannulations in infants weighing between 0.59 and 2.5 kg (median: 2.1; CI: 2.0 to 2.2) were included. Ultimate success rate was 94% (134 of 142). One cannulation attempt was required in 100 (70%) patients, two attempts in 21 (15%), and three attempts in 13 (9%). The smaller the weight of the infant the more attempts were needed. More attempts also were needed for the right Brachiocephalic Vein, which was primarily targeted in 75 (53%) neonates. One (1%) inadvertent arterial puncture was noted. Conclusions This supraclavicular, in-plane, real-time, ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and effective method to insert central venous catheters in preterm infants.

Gudrun Graf - One of the best experts on this subject based on the ideXlab platform.

  • Feasibility of the ultrasound-guided supraclavicular cannulation of the Brachiocephalic Vein in very small weight infants: A case series.
    Paediatric anaesthesia, 2020
    Co-Authors: Christian Breschan, Gudrun Graf, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Christoph Arneitz, Sandra Holasek, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical feasibility of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in infants weighing less than 1500 g. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using an in-plane approach the Brachiocephalic Vein was cannulated by using a 24-gauge intravenous cannula under real-time ultrasound guidance into the Vein followed by the insertion of a 2-French single lumen catheter using the Seldinger technique. Results Forty-six Brachiocephalic Vein cannulations in infants weighing between 0.55 and 1.5 kg (Median: 1.2; 95%-CI: 0.9-1.2) were included. Ultimate success rate was 89.1% (41 out of 46). One cannulation attempt was required in 30 (65.2%) patients, 2 in 6 (13%) and 3 in 5 (10.8%), respectively. Smaller weight babies did not require significantly more cannulation attempts. The probability of successful cannulation on the first attempt increased significantly from 40% (2010) to more than 80% (2019) over the time course of this series. Median catheter dwell time was 15 days (95%-CI: 9-20) with one catheter being removed prematurely after 8 days due to obstruction. Conclusion Supracalvicular in-plane real-time ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and feasible option to provide large-bore central venous access for very small and sick babies.

  • A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants
    Anesthesiology, 2018
    Co-Authors: Christian Breschan, Gudrun Graf, Robert Jost, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in preterm infants. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using a strict in-plane approach the Brachiocephalic Vein was cannulated by advancing a 22- or 24-gauge iv cannula from lateral to medial under the long axis of the ultrasound probe under real-time ultrasound guidance into the Vein. Results One hundred and forty-two cannulations in infants weighing between 0.59 and 2.5 kg (median: 2.1; CI: 2.0 to 2.2) were included. Ultimate success rate was 94% (134 of 142). One cannulation attempt was required in 100 (70%) patients, two attempts in 21 (15%), and three attempts in 13 (9%). The smaller the weight of the infant the more attempts were needed. More attempts also were needed for the right Brachiocephalic Vein, which was primarily targeted in 75 (53%) neonates. One (1%) inadvertent arterial puncture was noted. Conclusions This supraclavicular, in-plane, real-time, ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and effective method to insert central venous catheters in preterm infants.

Markus Koestenberger - One of the best experts on this subject based on the ideXlab platform.

  • Feasibility of the ultrasound-guided supraclavicular cannulation of the Brachiocephalic Vein in very small weight infants: A case series.
    Paediatric anaesthesia, 2020
    Co-Authors: Christian Breschan, Gudrun Graf, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Christoph Arneitz, Sandra Holasek, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical feasibility of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in infants weighing less than 1500 g. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using an in-plane approach the Brachiocephalic Vein was cannulated by using a 24-gauge intravenous cannula under real-time ultrasound guidance into the Vein followed by the insertion of a 2-French single lumen catheter using the Seldinger technique. Results Forty-six Brachiocephalic Vein cannulations in infants weighing between 0.55 and 1.5 kg (Median: 1.2; 95%-CI: 0.9-1.2) were included. Ultimate success rate was 89.1% (41 out of 46). One cannulation attempt was required in 30 (65.2%) patients, 2 in 6 (13%) and 3 in 5 (10.8%), respectively. Smaller weight babies did not require significantly more cannulation attempts. The probability of successful cannulation on the first attempt increased significantly from 40% (2010) to more than 80% (2019) over the time course of this series. Median catheter dwell time was 15 days (95%-CI: 9-20) with one catheter being removed prematurely after 8 days due to obstruction. Conclusion Supracalvicular in-plane real-time ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and feasible option to provide large-bore central venous access for very small and sick babies.

  • A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants
    Anesthesiology, 2018
    Co-Authors: Christian Breschan, Gudrun Graf, Robert Jost, Haro Stettner, Georg Feigl, Stefan Neuwersch, Christian Stadik, Markus Koestenberger, Rudolf Likar
    Abstract:

    Background The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the Brachiocephalic Vein in preterm infants. Methods The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the Brachiocephalic Vein. By using a strict in-plane approach the Brachiocephalic Vein was cannulated by advancing a 22- or 24-gauge iv cannula from lateral to medial under the long axis of the ultrasound probe under real-time ultrasound guidance into the Vein. Results One hundred and forty-two cannulations in infants weighing between 0.59 and 2.5 kg (median: 2.1; CI: 2.0 to 2.2) were included. Ultimate success rate was 94% (134 of 142). One cannulation attempt was required in 100 (70%) patients, two attempts in 21 (15%), and three attempts in 13 (9%). The smaller the weight of the infant the more attempts were needed. More attempts also were needed for the right Brachiocephalic Vein, which was primarily targeted in 75 (53%) neonates. One (1%) inadvertent arterial puncture was noted. Conclusions This supraclavicular, in-plane, real-time, ultrasound-guided cannulation of the Brachiocephalic Vein seems to be a convenient and effective method to insert central venous catheters in preterm infants.