Ultrasound guidance permits the placement of relatively large bore central venous catheters (2–4 French) into the brachiocephalic vein in very small infants. 
These catheters also enable haemodynamic monitoring, blood sampling, and high-flow infusions. The aim of this retrospective analysis was to confirm the clinical feasibility of supraclavicular ultrasound-guided (USG) cannulation of the brachiocephalic vein in neonates weighing <3.5 kg and the implications of increasing experience with this cannulation technique.
This study is published last month, one of the authors is Dr. Breschan, active member of the NEVAT!

Authors: Christian Breschan1, *, Gudrun Graf1 , Christoph Arneitz2 , Haro Stettner3, Stefan Neuwersch1 , Christian Stadik4 , Markus Koestenberger1 , Sandra Holasek5 and Rudolf Likar1

1 Department of Anaesthesia, Klinikum Klagenfurt, Klagenfurt, Austria,
2 Department of Pediatric Surgery, Klinikum Klagenfurt, Klagenfurt, Austria,
3 Department of Statistics, University of Klagenfurt, Klagenfurt, Austria,
4 Department of Neurorehabilitation, Krankenhaus Hermagor, Klagenfurt, Austria and
5 Institute of Pathophysiology, Medical University of Graz, Graz, Austria

*Corresponding author. E-mail: christian.breschan@kabeg.at

BJA British Journal of Anaesthesia

To consult the study