The aim of this study was to compare between ultrasound-guided supraclavicular and infraclavicular approaches for subclavian venous catheterization in pediatric to get clinical practice of rapid, accurate central venous catheter, insertion and less Complications.

Vascular access in children can be challenging. There is a considerable body of evidence supporting the use of ultrasound to aid central venous access in adults, but less so in children. Benefits for experienced operators may be small, but there is evidence of benefit for those acquiring skills and for less frequent operators.

Central venous catheter (CVC) placement is one of the most important invasive procedures in the intensive care for children of all ages. And health care outcomes largely depend on the success of its implementation. There are a large number of historically and clinically significant methods of central venous catheterization, and the advantages and disadvantages of each of them have been discussed for many years.

Ultrasonography is becoming an increasingly useful adjunct in the placement of Percutaneous central lines.

Inclusion Criteria:

• Aged from 4 to 12 years.
• Both sexes.
• All children who need central venous line insertion.
• Intra-operative Hemodynamic monitoring.
• Volume and Inotrope Resuscitation.
• Difficult Peripheral IV Access.
• Intravenous Nutrition and Medications.

Exclusion Criteria:

• Coagulopathy.
• Distorted anatomy.
• Infection systemic or cutaneous near the proposed Point of insertion.
• Skeletal deformity.
• History of previous neck surgery.
• Head and neck mass.
• Guardian Refusal.
• Pneumothorax Or Hemothorax.

The data was available upon a reasonable request from the corresponding author after the end of study for one year.

After the end of study for one year.

The data was available upon a reasonable request from the corresponding author.