Anatomy has always been important for physicians, especially if they are called to perform invasive techniques in fragile patients. Vascular access in children is one of these difficult tasks: small targets, frequent anatomical variations, major consequences in case of complications. It is there for not surprising that anesthesiologists, intensivists, surgeons, and pediatricians were so enthusiastic when the technological development of ultrasound started 15-20 years ago. It is almost unbelievable that we are now able to see and to target vessels as small as 1 mm with huge precision. But to do this, we had to learn another anatomy: the ultrasound anatomy. This grey-scale two-dimensional image that we had to correlate with the classical anatomy we knew. It all started in children with the ultrasound guided puncture of the internal jugular vein but, as I already wrote elsewhere 10 years ago, we are now far beyond the internal jugular vein. In this chapter, you will discover the ultrasound anatomy (applied to invasive puncture) of all major arteries and veins of the child’s body: with more than 30 illustrations covering the upper limb, the lower limb, the neck region (with extension to supra- and retro-clavicular view), and the area under the clavicle.
Pirotte, T. (2022). Ultrasound Anatomy of Arterial and Deep Veins of the Limb and the Cervico-Thoracic Region in Children. In Daniele G. Biasucci, Nicola Massimo Disma, Mauro Pittiruti (ed.), Vascular Access in Neonates and Children (p. p. 49-75). Springer Cham. https://doi.org/10.1007/978-3-030-94709-5_4