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Intensive Care Medicine
Published in: Intensive Care Medicine 6/2019

01-06-2019 | Ultrasound | What's New in Intensive Care

A new extra-thoracic, in-plane, longitudinal, real-time, ultrasound-guided access to the axillary vein

Authors: Daniel Azoulay, Chady Salloum, Eylon Lahat, Rony Eshkenazi, Chetana Lim

Published in: Intensive Care Medicine | Issue 6/2019

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Excerpt

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) [1]. However, this preferred approach, whether supra- or infra-clavicular, is hindered by the increased risk of mechanical complications, especially pneumothorax. …
Literature
1.
Senussi MH, Kantamneni PC, Omranian A, Latifi M, Hanane T, Mireles-Cabodevila E, Chaisson NF, Duggal A, Moghekar A (2017) Revisiting ultrasound-guided subclavian/axillary vein cannulations: importance of pleural avoidance with rib trajectory. J Intensive Care Med 32(6):396–399CrossRefPubMed
2.
Salloum C, Lim C, Lahat E, Compagnon P, Azoulay D (2016) The veno-venous bypass in liver transplantation: an unfinished product. Hepatobiliary Surg Nutr. 5(3):269–272CrossRefPubMedPubMedCentral
3.
Azoulay D, Lim C, Salloum C et al (2014) Complex liver resection using standard total vascular exclusion, venovenous bypass, and in situ hypothermic portal perfusion: an audit of 77 consecutive cases. Ann Surg 262(1):93–104CrossRef
4.
Lavallée C, Ayoub C, Mansour A, Lambert J, Lebon JS, Lalu MM, Denault A (2018) Subclavian and axillary vessel anatomy: a prospective observational ultrasound study. Can J Anaesth 65(4):350–359CrossRefPubMed
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Yang HJ, Gil YC, Jin JD, Cho H, Kim H, Lee HY (2012) Novel findings of the anatomy and variations of the axillary vein and its tributaries. Clin Anat 25(7):893–902CrossRefPubMed
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Moureau N, Lamperti M, Kelly LJ, Dawson R, Elbarbary M, van Boxtel AJ, Pittiruti M (2013) Evidence-based consensus on the insertion of central venous access devices: definition of minimal requirements for training. Br J Anaesth 110(3):347–356CrossRefPubMed
Metadata
Title
A new extra-thoracic, in-plane, longitudinal, real-time, ultrasound-guided access to the axillary vein
Authors
Daniel Azoulay
Chady Salloum
Eylon Lahat
Rony Eshkenazi
Chetana Lim
Publication date
01-06-2019
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 6/2019
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-019-05561-w

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