Journal of Health and Medical Sciences
ISSN 2622-7258
Published: 11 October 2021
Ultrasound Guided Brachiocephalic Vein Cannulation using Supraclavicular Approach
Kris Chandra, M. Budi Kurniawan
Padjajaran University, Indonesia
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10.31014/aior.1994.04.04.187
Pages: 6-10
Keywords: Central Vein Cannulation, Complication, Critical Care, Supraclavicular Approach, Brachiocephalic Vein
Abstract
The need of central vein cannulation has been increased since the increased case of critical patients and patients underwent high-risk patients. Supraclavicular approach of central vein cannulation is an alternative approach to central vein cannulation due to fewer anatomical variance, good longitudinal vein view, better visualization of needle during procedure, clear demarcation of landmarks, larger target area, better patient comfort, and fewer complications. This case study presents an ultrasound guided central vein cannulation using supraclavicular approach in 30 year old male patient diagnosed with septic shock, anemia, trombcytopenia, and electrolyte imbalance post laparotomy. The indication of central vein cannulation in the patient was to deliver volume resuscitation, to provide emergency vein access, to provide nutritional support, to deliver chemically caustic agents, and central vein pressure monitoring.
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