Ultrasound guided subclavian/axillary vein cannulation 🧵
✅Why subclavian?
✅Why ultrasound guided?
✅How to do it?
✅Why subclavian?
✅Why ultrasound guided?
✅How to do it?
Why axillary/ subclavian access is superior in ICU:
✅Lower risk of CVC related infections
✅Lower rate of thrombosis
✅Logistics for future lines
✅Lower risk of CVC related infections
✅Lower rate of thrombosis
✅Logistics for future lines
Why use real-time ultrasound guidance?
Summary of our recent Met-analysis with Trial Sequential Analysis
doi.org
US vs Landmark Technique
✅US better success rate and success at first attempt
✅US lower complication rate
✅US fewer attempts
✅US shorter a.time
Summary of our recent Met-analysis with Trial Sequential Analysis
doi.org
US vs Landmark Technique
✅US better success rate and success at first attempt
✅US lower complication rate
✅US fewer attempts
✅US shorter a.time
Based on the Trial Sequential Analysis we know that our data is robust as the number of recruited patients exceeded the estimated information size.
What is TSA?
EUROMEDITERRANEAN BIOMEDICAL JOURNAL 2021,16 (25) 104-107
@f_g_sanfilippo @LuigiLaVia7
What is TSA?
EUROMEDITERRANEAN BIOMEDICAL JOURNAL 2021,16 (25) 104-107
@f_g_sanfilippo @LuigiLaVia7
More data comparing head to head IJ vs axillary access
journals.lww.com
✅Both techniques are equally efficient and safe in mechanically ventilated critically ill patients.
journals.lww.com
✅Both techniques are equally efficient and safe in mechanically ventilated critically ill patients.
How to do it?
The Shrug Technique
emcrit.org @PulmCrit
Central Line Academy
youtube.com
@InterAnest
Congress Lecture
youtube.com
@WINFOCUS
The Shrug Technique
emcrit.org @PulmCrit
Central Line Academy
youtube.com
@InterAnest
Congress Lecture
youtube.com
@WINFOCUS
Future directions?
Your preference in ultrasound guided subclavian/axillary vein cannulation:
Your preference in ultrasound guided subclavian/axillary vein cannulation:
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