Real time axillary vein catheterization with oblique view: influence of arm position
Keywords:
axillary vein, real-time ultrasound-guided axillary vein cannulation, central vein, infraclavicular access, intensive care, ultrasoundAbstract
Introduction: The axillary vein is an accessible vessel with ultrasound guidance.
Objective: The objective of this study is to evaluate the influence of arm abduction during real time ultrasound guided catheterization with oblique axis of the axillary vein.
Methods: A prospective, descriptive and randomized study was carried out at the Hermanos Ameijeiras Hospital, with a sample of 41 patients. Random assignment to intervention groups (with or without abduction of the ipsilateral arm) was made.
Results: Catheterization was successful in 100% of the cases with time less than 15 seconds. An increase in complications was not demonstrated in relation to:obesity,risk situations, vessel size or completion time. A linear correlation was demonstrated between complications and the number of attempts made, as well as the increase in the vessel-skin distance. There was an association between the skin-vessel distance and the time of completion. The abduction or not influence the presence of non-erratic locations.
Conclusions: The performance of ultrasound guided catheterization of the axillary vein with oblique view constitutes an access site with high effectiveness rates and low percentage of complications. The abduction of the arm increases the visualization of the vessel; it did not reduce the erratic positions of the central venous catheter.
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