A new central venous access in Emergency Department: ultrasound-guided infraclavicular axillary vein

The ultrasound-guided axillary approach offers a number of potential advantages over
others central line cannulation. The anatomy favours ultrasound guidance and less
complications. Manual compression of the axillary artery or surgical access is possible
if arterial damage is caused. The puncture site is further away from potential sources
of infection in patients with tracheostomy, central chest wall burns or sternotomy
wounds. Once mastered, this is a safe, useful, and reliable technique for central
venous access, so the axillary vein is an alternative for central venous cannulation,
as can be seen in the case presented, an effective alternative to US-guided IJV and
SCV cannulation.