Infraclavicular Right Subclavian Vein in Neonates

The infraclavicular puncture of the subclavian vein, extensively performed under anatomical guidance, is associated with a high incidence of complications as reported in the medical literature. The adoption of dynamic needle tracking (DNT), which necessitates the long-axis (LAX) visualization of the echogenic introducer needle, facilitates the cannulation of small-caliber veins such as those found in neonatal patients, thereby minimizing the risk of complications. The most challenging aspect of the technique involves the precise alignment of the introducer needle with the transducer’s insonation area; mastering this step significantly reduces apprehension regarding complications associated with this vascular access technique.