Ultrasound-guided vascular access in adults and children: beyond the internal jugular vein puncture.

Acta Anaesthesiol Belg

Service d'Anesthésiologie, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Avenue Hippocrate 10, 1200 Bruxelles.

Published: February 2009

AI Article Synopsis

  • * It details approaches for accessing the subclavian vein, axillary vein, and peripheral veins such as the basilic, brachial, and cephalic veins, as well as arterial line placement in various locations.
  • * The paper also highlights the use of ultrasound for inserting central catheters (PICC Lines) and discusses the assessment of complications like pneumothorax and hemopericardium.

Article Abstract

Based on our clinical experience and a review of the current literature, this paper describes a large variety of ultrasound-guided vascular puncture techniques used in adults and children far beyond the well described puncture of the internal jugular vein. This includes low or posterior approaches of the internal jugular vein, puncture of the subclavian vein and its variant in children, infraclavicular access to the axillary vein and also more peripheral punctures of the basilic, brachial and cephalic veins. Arterial line placement in the radial, humeral, axillary or femoral are also described as well as the aid of ultrasonography for peripheral insertion of central catheters (PICC Lines). Additional information on ultrasonographic assessment of potentially related complications, like pneumothorax or hemopericardium, will complete this review.

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