Centrally inserted central catheters in preterm neonates with weight below 1500 g by ultrasound-guided access to the brachio-cephalic vein

Objective: Central venous access in critically ill newborns can be challenging. Ultrasound-guided brachio-cephalic vein catheterization is a relatively new procedure, recently introduced in several neonatal intensive care units. The aim of this study is to evaluate the safety and feasibility of such...

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Bibliographic Details
Published in:The journal of vascular access 2021-05, Vol.22 (3), p.344-352
Main Authors: Barone, Giovanni, Pittiruti, Mauro, Ancora, Gina, Vento, Giovanni, Tota, Francesca, D’Andrea, Vito
Format: Article
Language:English
Subjects:
Birth Weight
Brachiocephalic Veins - diagnostic imaging
Catheterization, Central Venous - adverse effects
Catheterization, Peripheral - adverse effects
Feasibility Studies
Female
Gestational Age
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Italy
Male
Punctures
Retrospective Studies
Ultrasonography, Interventional
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Summary:Objective: Central venous access in critically ill newborns can be challenging. Ultrasound-guided brachio-cephalic vein catheterization is a relatively new procedure, recently introduced in several neonatal intensive care units. The aim of this study is to evaluate the safety and feasibility of such a technique in preterm babies. Design: Retrospective analysis of prospectively collected data on ultrasound-guided central venous catheter insertion in preterm neonates. Setting: Neonatal intensive care unit. Patients: Critically ill preterm neonates with weight below 1500 g requiring a central access. Interventions: Ultrasound-guided brachio-cephalic vein catheterization. Main Results: Thirty centrally inserted catheters were placed in 30 neonates. The success rate of the procedure was 100%. No case of accidental arterial or pleural puncture was registered during the study period. Conclusion: The brachio-cephalic vein can be safely catheterized in preterm newborns requiring intensive care after appropriate training.
ISSN:1129-7298
1724-6032
DOI:10.1177/1129729820940174