Mid-arm approach to basilic and cephalic vein cannulation using ultrasound guidance

Abstract

Central venous lines are often used when there is difficulty obtaining peripheral venous access. The basilic and cephalic veins in the mid-arm region, although difficult to see or palpate, can be imaged longitudinally and cannulated using real-time ultrasonography, providing an easy alternative. These techniques are described, with reports of four typical cases. © The Board of Management and Trustees of the British Journal of Anaesthesia 2004.