Tecniche e Metodi

Ultrasound-guided cannulation of the brachiocephalic vein in newborns: A novel approach with a supraclavicular view for tip navigation and tip location

Purpose: Central vascular catheters (CVCs) are frequently used in newborns in NICU. Ultrasound (US) guided
supraclavicular venipuncture of the brachiocephalic vein (BCV) is usually performed with a 12 MHz linear probe and
then a catheter tip location is verified with an 8 MHz micro-convex probe or intracavitary ECG (IC-ECG). We explored
the feasibility of an US guided puncture using a 7 MHz sector probe, positioned on the clavicular sternal joint. We also
explored the opportunity of performing it with a probe tilting tip navigation and tip location.