Doppler ultrasound-guided brachiocephalic central line insertion in cardiac surgery: an overlooked approach revisited

ABSTRACT

The insertion of central venous lines is sometimeschallenging for both the physician andthe patient. In a previous work from our institute,Badran et al. described brachiocephaliccentral line insertion as an overlookedapproach and recommended its use in clinicalpractice. The aim of this study is to evaluateultrasound-guided brachiocephalic centralline insertion in patients undergoing cardiacsurgery. Twenty-six low-risk patients undergoingcoronary bypass surgery consented toparticipate in the study (14 male, 12 female).Ultrasound-guided brachiocephalic centralline insertion was performed, and the mainoutcomes measured were the success rate andthe ease of cannulation. The procedure wassuccessful in 24 patients (92.3%), while itfailed in two (7.7%). The single-puncture successrate was 79.3% (19 out of 24), with noacute or late complications. Using Dopplerultrasound guidance, the brachiocephalic veinis a suitable site for central venous catheterinsertion in cardiac surgery (AU)

RESUMEN

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