Infraclavicular Left Subclavian Vein in Pediatrics

The infraclavicular approach to subclavian vein puncture, commonly performed under anatomical guidance, is associated with a high rate of complications reported in the medical literature. The implementation of dynamic needle tracking (DNT), which necessitates long-axis (LAX) visualization of the introducer needle, facilitates real-time monitoring of vein cannulation. DNT enables the visualization of the introducer needle running parallel to the pleura, effectively eliminating the possibility of pneumothorax, the most frequently reported complication associated with anatomical guideline techniques. The most challenging aspect of this technique is achieving precise alignment of the introducer needle with the transducer’s insonation area; mastering this step significantly reduces concern over complications associated with this vascular access method.