• Tayfun Aydın, Onur Balaban, Miray Turgut, Murat Emre Tokur, and Ahmet Musmul.
• Kutahya Health Sciences University Hospital, Department of Anesthesiology and Reanimation, Kutahya, Turkey.
• J. Cardiothorac. Vasc. Anesth. 2022 Apr 1; 36 (4): 998-1006.

ObjectivesTo assess the superiority of a novel ultrasound-guided central venous catheterization technique, supraclavicular brachiocephalic catheterization, compared to jugular vein catheterization.DesignProspective randomized trial.SettingOperating rooms and intensive care unit.ParticipantsEighty-six patients with central catheter placement were included in the present study.InterventionsIn the brachiocephalic group, ultrasound-guided catheterization of the brachiocephalic vein was performed via the supraclavicular route using needle-in-plane and syringe-free techniques. In the jugular group, ultrasound-guided catheterization of the internal jugular vein was performed using the needle-out-of-plane technique.Measurements And Main ResultsMeasurements included number of needle insertion attempts, ultrasonography times, and cannulation times. Additionally, ultrasound visibility of the veins, needle, guidewire, and catheter, as well as ease of the procedure, were assessed. Mean cannulation time was 27.65 ± 25.36 seconds in Group B and 28.16 ± 21.72 seconds in Group J. The overall success rate was 97.6% in Group B and 97.7% in Group J. The mean ease score of the cannulation procedure was 8.78 ± 1.13 in Group B and 8.67 ± 1.23 in Group J. No significant differences were detected between groups. The mean ultrasonography time was 11.98 ± 6.91 seconds in Group B and 2.88 ± 1.47 seconds in Group J. Ultrasound visibility of the brachiocephalic, jugular, and subclavian veins, as well as the needle and the guidewire, were good; however, visibility of the catheter was poor.ConclusionsAlthough not superior to the standard internal jugular approach, the novel supraclavicular approach proved to be a noninferior method for central venous cannulation.Copyright © 2021 Elsevier Inc. All rights reserved.

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