[Ultrasound-guided supraclavicular subclavian vein catheterization: a novel approach in children]

R Attof, O Rhondali, S Combet, D Chassard, M De Queiroz
Annales Françaises D'anesthèsie et de Rèanimation 2010, 29 (9): 651-4
The subclavian vein (SCV) is often the preferred site for long-term central venous catheterization in children. It has many advantages over the internal jugular vein. But with the classical landmark technique for SCV catheterization the ultrasound-guidance technique is usually not suitable, because of the clavicle (a bright hyperechoic structure with an acoustic shadow beneath it). Because the SCV can easily be visualized via a supraclavicular approach, we developed a useful ultrasound-guided approach for SCV catheterization in infants and children.

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