Efficacy and safety of ultrasound-guided central venous access in oncological and haematological patients: Results of a monocenter series of 519 consecutive patients

8152 Background: The management of the cancer patients frequently relies on the ability to deliver a variety of intravenous agents over a prolonged period. A central venous catheter (CVC) currently represents the most frequently adopted intravenous line for patients undergoing infusional chemotherapy and/or high-dose chemotherapy with concomitant blood stem cell transplantation and parenteral nutrition. The aim of this study was to explore the feasibility and safety of CVC insertion under ultrasound (US) control. US offers the advantage of real-time, multiplanar imaging as well as Doppler analysis, which makes it very practical and improves safety by allowing the operator to identify major vessels. Methods: The patient is placed in Trendelenburg’s position. After sterilization, local anaesthesia is applied and a 7.5 MHz puncturing US probe is placed in the right supraclavicular site and a 16 gauge needle is advanced into the last portion of internal jugular vein nearly innominate vein under US-control; af...