Search results for "axillary vein"

showing 5 items of 5 documents

Infraclavicular access to the axillary vein-new possibilities for the catheterization of the central veins in the intensive care unit

2016

Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditionally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable for critically ill patients. For this reason, the axillary vein seems to be a rational alternative approach. In this narrative review, we evaluate the usefulness of the infraclavicular access to the axillary vein. The existing evidence suggests that infraclavicular approach to the axillary vein is a reliable method of central vein catheterization, especially when performed with ultrasound guidance.

medicine.medical_specialtyCatheterization Central VenousShoulderCritical Care030232 urology & nephrologyCritical Care and Intensive Care Medicinelaw.invention03 medical and health sciences0302 clinical medicinelawIntensive caremedicineHumansAxillary VeinVeinUltrasonography Interventionalinfraclavicular access; ultrasound; intensive carebusiness.industryCritically ill030208 emergency & critical care medicineGeneral MedicineIntensive care unitVein catheterizationSurgerycentral veinIntensive Care UnitsAnesthesiology and Pain Medicinemedicine.anatomical_structurecannulation; axillary veincardiovascular systemCentral veinsAnatomic LandmarksAxillary veinbusinessSubclavian veinAnaesthesiology Intensive Therapy
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Ultrasound-Guided Infraclavicular Axillary Vein Versus Internal Jugular Vein Cannulation in Critically Ill Mechanically Ventilated Patients: A Random…

2022

OBJECTIVES: This clinical trial aimed to compare the ultrasound-guided in-plane infraclavicular cannulation of the axillary vein (AXV) and the ultrasound-guided out-of-plane cannulation of the internal jugular vein (IJV). DESIGN: A prospective, single-blinded, open label, parallel-group, randomized trial. SETTING: Two university-affiliated ICUs in Poland (Opole and Lublin). PATIENTS: Mechanically ventilated intensive care patients with clinical indications for central venous line placement. INTERVENTIONS: Patients were randomly assigned into two groups: the IJV group (n = 304) and AXV group (n = 306). The primary outcome was to compare the IJV group and AXV group through the venipuncture an…

axillary vein; central venous cannulation; complication; internal jugular vein; success rate; ultrasoundCritical Care and Intensive Care MedicineCritical Care Medicine
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Real-time ultrasound-guided infraclavicular axillary vein cannulation: A prospective study in mechanically ventilated critically ill patients.

2016

Purpose: The main purpose of this study was to define the venipuncture and catheterization success rates and early mechanical complication rates of ultrasound-guided infraclavicular axillary vein cannulation. Materials and methods: We performed in-plane, real-time, ultrasound-guided infraclavicular axillary vein catheterizations under emergency and nonemergency conditions in mechanically ventilated, critically ill patients. Results: We performed 202 cannulation attempts. One hundred and twenty-six procedures (62.4%) were performed under emergency conditions. The puncture of the axillary vein was successful in 98.5% of patients, and the entire procedure success rate was 95.1% (95% confidence…

AdultMalemedicine.medical_specialtyCatheterization Central VenousAdolescentCritical IllnessReal time ultrasoundPuncturesCritical Care and Intensive Care Medicine03 medical and health sciencesYoung Adult0302 clinical medicine030202 anesthesiologyMedicineHumansProspective StudiesAxillary VeinProspective cohort studyUltrasonography InterventionalAgedUltrasonographyAged 80 and overVenipuncturebusiness.industryCritically ill030208 emergency & critical care medicineMiddle AgedRespiration ArtificialConfidence intervalSurgeryAnesthesiaFemalebusinessComplicationAxillary veinVenous cannulationJournal of critical care
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Real-time, ultrasound-guided infraclavicular axillary vein cannulation for renal replacement therapy in the critical care unit—A prospective interven…

2015

Abstract Purpose The cannulation of the axillary vein for renal replacement therapy is a rarely performed procedure in the critical care unit. We defined the venipuncture and catheterization success rates and early mechanical complication rates of this technique in critical care patients with acute kidney injury. Materials and methods Twenty-nine mechanically ventilated patients with clinical indications for insertion of temporary hemodialysis catheters enrolled in a registered trial (NCT01919528) as a pilot cohort. We performed 29 real-time, ultrasound-guided infraclavicular axillary vein cannulation attempts for renal replacement therapy. We defined the venipuncture and catheterization su…

AdultMaleCatheterization Central Venousmedicine.medical_specialtyCritical Caremedicine.medical_treatmentHemodialysis CatheterPilot ProjectsCritical Care and Intensive Care Medicinelaw.inventionCohort StudiesRenal DialysislawPerformed ProcedureHumansMedicineProspective StudiesRenal InsufficiencyRenal replacement therapyAxillary VeinUltrasonography InterventionalAgedAged 80 and overVenipuncturebusiness.industryAcute kidney injuryMiddle Agedmedicine.diseaseIntensive care unitSurgeryRenal Replacement TherapyIntensive Care UnitsAnesthesiaFemalebusinessComplicationAxillary veinJournal of Critical Care
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A new Infraclavicular Landmark-Based Approach to the Axillary Vein as an Alternative Method of Central Venous Cannulation

2016

Purpose: We developed the new technique of the axillary vein catheterization, which is connected with the determination of only two anatomical points of reference for puncture site identification. The primary outcome of this study was to determine the rate of successful catheterizations and the assessment of procedure success rate, depending on cannulation side as well as physician experience. The secondary objective was to evaluate the early complication rate and to determine whether this method can be used in clinical practice. Methods: The methodology of this prospective, cohort study included catheterization of the axillary vein via the infraclavicular approach. All procedures were perf…

AdultMaleCatheterization Central Venousmedicine.medical_specialtyTime FactorsTreatment outcomePunctures030204 cardiovascular system & hematologyCatheterizationYoung Adult03 medical and health sciencesCatheters Indwelling0302 clinical medicineRisk FactorsIntensive careCatheterization PeripheralmedicineCentral Venous CathetersHumansProspective StudiesProspective cohort studyAgedAged 80 and overAlternative methodsLandmarkbusiness.industryAxillary vein030208 emergency & critical care medicineMiddle AgedSurgeryTreatment OutcomeNephrologyIntensive careFemaleSurgeryClinical CompetenceRadiologyAnatomic LandmarksClinical competencebusinessAxillary veinLearning CurveVenous cannulationThe Journal of Vascular Access
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