Assistant professor, Department of General Surgery, Katuri medical college & Hospital, Chinakondrupadu, Guntur
External Jugular Vein, Brachiocephalic Vein, Central Venous Cannulation, Subclavian Vein, Ultrasound ,

An Ultrasonography (US)-guided cannulation maximizes success chances while minimizing risk during the insertion of a central venous catheter (CVC). The internal jugular vein (IJV) and the subclavian vein (SCV) are considered to be the most common sites for CVC insertion using US guidance. An ultrasound-guided cannulation of the right brachiocephalic vein (BCV) in adults was examined for safety and effectiveness using this study. Over a period of two years, 428 adult patients required 536 cannulations of the right BCV using ultrasound guidance. A number of problems and successes were reported. 98.32 percent of technical success was achieved, as indicated by 527/536. 95.34% of surgical procedures were successful on the first attempt in 511 cases. The average length of the procedure was 13.26 minutes, while the average procedure time was 3.34 minutes. Cath introduces on average for 13.57 cm. There were 2.61 percent intraoperative complications. Pneumothorax (PNX) prevented surgery for three of the patients, and 11 artery punctures were associated with self-limiting hematomas. 32 out of 536 procedures (5.77%) had post-procedure problems. One hundred and eighty-four catheter-related infections were recorded, and fourteen of them led to thromboses. An average of 10.68 days were spent insertion catheters. Right BCV cannulation can be achieved efficiently and safely by supraclavicular, in-plane, ultrasound-guided techniques. Improves clinical outcomes by adding another catheter access option to central venous catheterizations.

5 , 3 , 2015