Ultrasound confirmation of guidewire position may eliminate accidental arterial dilatation during central venous cannulation.

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Lawrence M GillmanAndrew W Kirkpatrick

Abstract

Ultrasound guidance during central line insertion has significantly reduced complications associated with this procedure and has led to it being incorporated as standard of care in many institutions. However, inadvertent arterial penetration and dilation remains a problem despite ultrasound guidance and can result in significant morbidity and even mortality. Dynamic ultrasound confirmation of guidewire position within the vein prior to dilation may help to prevent and even eliminate this feared complication. A prospectively collected database of central line insertions for one author utilizing this novel technique was retrospectively reviewed for all incidents of arterial dilation over a period from September 2008 to January 2010. During the study period 53 central lines were inserted with no incidents of arterial dilation. Ultrasound confirmation of guidewire position has the potential to reduce or eliminate the morbidity and mortality of arterial dilation during central line placement.

References

Apr 10, 1999·Bone Marrow Transplantation·D J SadlerR R Gray
Aug 16, 2003·BMJ : British Medical Journal·Daniel HindSteven Thomas
Dec 4, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Larry BrannamMichael Flake
Dec 8, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Rajarajan RamamoorthyA Hammad
Nov 17, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nova L PanebiancoAnthony J Dean

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Citations

Oct 29, 2013·Annals of the American Thoracic Society·Michael J Silverberg, Pierre Kory
Sep 22, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Menachem M WeinerAlexander J C Mittnacht
May 19, 2012·Paediatric Anaesthesia·Kenji KayashimaReiko Sozen
Aug 30, 2012·Paediatric Anaesthesia·Kenji KayashimaReiko Sozen
Apr 27, 2016·Advances in Chronic Kidney Disease·Jennifer G Wilson, Kristine E W Breyer
Aug 8, 2019·Journal of Intensive Care Medicine·Akiva LeibowitzRobina Matyal
Jul 20, 2021·The Journal of Vascular Access·Giacomo FornerisMaurizio Gallieni

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