BEDSIDE ULTRASOUND-GUIDED INNOMINATE VEIN CANNULATION FOR CENTRAL LINE PLACEMENT IN NEWBORNS

jpedsurg.org

Despite not being the first choice, central venous access is often the most suitable option for critically ill infants in the Neonatal Intensive Care Unit (NICU). This study reports our initial experience with bedside ultrasound-guided innominate vein central venous access in infants weighing less than 4.5 kg, performed by an attending surgeon’s vascular team.

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Article · Jun 2025 · 1 min read

In brief

This article describes a surgical team's early experience using bedside ultrasound to guide central line placement via the innominate vein in critically ill newborns under 4.5 kg. The technique offers an alternative vascular access route for NICU patients requiring central venous catheters when standard approaches may be challenging.

Ultrasound-guided innominate vein cannulation is a viable alternative for central venous access in critically ill neonates under 4.5 kg.
Bedside placement by a vascular surgery team can provide safe central access when traditional routes are unsuitable in NICU patients.
The innominate vein approach expands options for central line placement in infants with limited or exhausted peripheral venous access.

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