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  • Title: Ultrasound-guided brachiocephalic vein access in neonates and pediatric patients.
    Author: Acosta CM, Tusman G.
    Journal: Rev Esp Anestesiol Reanim (Engl Ed); 2021 Dec; 68(10):584-591. PubMed ID: 34840101.
    Abstract:
    Central venous accesses in neonates and pediatric patients represent a common and important procedure for both, intraoperative and postoperative care. Point-of-care ultrasound-guided technique has been proposed to increased success rate and efficiency, as well as to decrease the number of complications. Ultrasound-guided internal jugular vein cannulation is considering the "gold standard" in children. Another central venous cannulation option in neonates and children has been supraclavicular ultrasound-guided cannulation of the brachiocephalic vein using the in-plane approach. This article gives a review of the current evidence, the basic knowledge of the technique and the structured approach to follow for supraclavicular ultrasound-guided brachiocephalic vein access in children and neonates.
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