{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:05:14Z","timestamp":1789844714154,"version":"4.0.1"},"reference-count":11,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,6,17]],"date-time":"2015-06-17T00:00:00Z","timestamp":1434499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The supraclavicular ultrasound (<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>)\u2010guided cannulation of the brachiocephalic vein (<jats:styled-content style=\"fixed-case\">BCV<\/jats:styled-content>) is one option of central venous line placement in infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this prospective study was to evaluate whether there was an association between the optimum ultrasonographic view as obtained of the entire longitudinal extension of the right<jats:styled-content style=\"fixed-case\">BCV<\/jats:styled-content>and the ease of supraclavicular cannulation when using a strict in\u2010plane technique via a linear<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>probe in small infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>probe was placed in the right supraclavicular region. If the optimum obtainable sonographic view presented the entire longitudinal extension of the right<jats:styled-content style=\"fixed-case\">BCV<\/jats:styled-content>demonstrating clearly its path caudally alongside the pleura, it was graded as I. If, however, only a circular view, i.e., the initial part of the right<jats:styled-content style=\"fixed-case\">BCV<\/jats:styled-content>was obtainable via<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>, it was graded as<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>. The right<jats:styled-content style=\"fixed-case\">BCV<\/jats:styled-content>was cannulated by advancing a 22\u2010gauge i.v. cannula from lateral to medial strictly under the long axis of the<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>probe under direct<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>vision into the vein.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010nine infants weighing between 0.8 and 4.5\u00a0kg (Median: 3.4\u00a0\u00b1\u00a00.09) were included. In 50 (63.3%) patients, the sonographic view was graded as I and in 29 (36.7%) as<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>. The proportion of patients successfully cannulated on the first attempt was significantly smaller in patients graded as<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, i.e., circular, sonographic view of the right<jats:styled-content style=\"fixed-case\">BCV<\/jats:styled-content>than in patients graded as I, i.e., sonographic view of the entire longitudinal extension of the right<jats:styled-content style=\"fixed-case\">BCV<\/jats:styled-content>(41% vs 90%; chi\u2010square analysis:<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The sonographic view obtainable of the entire longitudinal extension of the right<jats:styled-content style=\"fixed-case\">BCV<\/jats:styled-content>resulted in significantly fewer required cannulation attempts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12700","type":"journal-article","created":{"date-parts":[[2015,6,17]],"date-time":"2015-06-17T12:53:30Z","timestamp":1434545610000},"page":"943-949","source":"Crossref","is-referenced-by-count":61,"title":["Ultrasound\u2010guided supraclavicular cannulation of the right brachiocephalic vein in small infants: a consecutive, prospective case series"],"prefix":"10.1111","volume":"25","author":[{"given":"Christian","family":"Breschan","sequence":"first","affiliation":[{"name":"Department of Anesthesia Klinikum Klagenfurt Klagenfurt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudrun","family":"Graf","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Klinikum Klagenfurt Klagenfurt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Jost","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Krankenhaus Spittal\/Drau Spittal\/Drau Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haro","family":"Stettner","sequence":"additional","affiliation":[{"name":"Department of Statistics University of Klagenfurt Klagenfurt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Feigl","sequence":"additional","affiliation":[{"name":"Department of Anatomy Medical University of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alja","family":"Goessler","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Klinikum Klagenfurt Klagenfurt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Neuwersch","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Klinikum Klagenfurt Klagenfurt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Koestenberger","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Klinikum Klagenfurt Klagenfurt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"Likar","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Klinikum Klagenfurt Klagenfurt Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,6,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annfar.2010.05.036"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer031"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2011.03614.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2012.03923.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e3182745489"},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1093\/oso\/9780199547562.003.0006","volume-title":"Ultrasound Guidance for Nerve Blocks. 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