Safety And Effectiveness of Ultrasound-Guided Cannulation of The Right Brachiocephalic Vein for Central Venous Access
DOI:
https://doi.org/10.48047/ynzv2112Keywords:
: Ultrasound-Guided Cannulation, Brachiocephalic Vein, Central Venous Catheter, Technical Success, Intraoperative Complications, Post-Procedure ComplicationsAbstract
Background: Ultrasound (Us)-Guided Cannulation Has Become the Standard Practice for Central Venous Catheter (Cvc) Insertion Due To Its Ability to Increase Success Rates and Minimize Complications. While The Internal Jugular Vein (Ijv) And Subclavian Vein (Scv) Are Commonly Used, This Study Examines the Safety and Effectiveness of Us-Guided Cannulation of The Right Brachiocephalic Vein (Bcv) In Adults. Methods: Over A Two-Year Period, 428 Adult Patients Required 536 Cannulations of The Right Bcv Using Ultrasound Guidance. Data On Technical Success, Complications, Procedure Times, Catheter Length, And Post-Procedure Outcomes Were Collected. The Cannulations Were Performed Using A Supraclavicular, In-Plane Ultrasound-Guided Technique. Results: Technical Success: 98.32% Success Rate (527/536 Procedures). First Attempt Success: 95.34% Of Procedures Were Successful on The First Attempt (511/536). Procedure Time: The Average Length of The Procedure Was 13.26 Minutes, With A Mean Catheter Insertion Length Of 13.57 Cm. The Average Procedure Time for The Insertion Was 3.34 Minutes. Intraoperative Complications: 2.61% Of Procedures Resulted in Complications, Including Pneumothorax (Pnx) In Three Patients And 11 Cases of Artery Puncture Associated with Self-Limiting Hematomas. Post-Procedure Complications: 5.77% (32/536) Of Procedures Had Post-Procedure Issues, including 184 Catheter-Related Infections, 14 Of Which Led to Thrombosis. Catheter Duration: The Average Duration of Catheter Placement Was 10.68 Days. Conclusion: Ultrasound-Guided Cannulation of The Right BBCs Is a Safe And Effective Technique With High Success Rates And Minimal Complications. This Approach Improves Clinical Outcomes By Offering An Additional Option For Central Venous Catheterization, Enhancing The Versatility And Safety Of Central Venous Access Procedures.
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