Comparison of ultrasound guided Brachiocephalic and Internal jugular vein cannulation in paediatric patients undergoing neurosurgery - A pilot study

Central venous cannulation is an essential procedure in critically ill patients and for major surgeries for better hemodynamic monitoring and management. Ultrasound guided brachiocephalic vein cannulation in paediatric age group has become recently due to high success rate with less life- threatening complications. This is a prospective, randomized pilot study comparing ultrasound-guided in-plane  supraclavicular left brachiocephalic vein cannulation with out-of-plane right internal jugular vein cannulation in paediatric patients undergoing neurosurgery. The primary aim is to compare first- attempt success rates and cannulation times. Secondary objectives include evaluating the number of attempts and complications. A total of 64 children will be enrolled ( 32 per group) at army hospital research and referral, Delhi cantt. Patients will be randomized post- induction of anaesthesia, and cannulation will be performed under ultrasound guidance using the modified seldinger technique. Outcomes will be recorded by an independent observer. The study will adhere to ethical guidelines with informed consent and assent as applicable.