Ultrasound Guidance for Central Venous Access: Current Evidence and Clinical Recommendations

Journal of Intensive Care Medicine
Akiva LeibowitzRobina Matyal

Abstract

Ultrasound-guided central line placement has been shown to decrease the number of needle puncture attempts, complication, and failure rates. In order to obtain successful central access, it is important to have adequate cognitive knowledge, workflow understanding, and manual dexterity to safely execute this invasive procedure. The operator should also be familiar with the anatomical variations, equipment operations, and potential complications and their prevention. In this article, we present a detailed review of ultrasound-guided central venous access. It includes a description of anatomy, operative technique, equipment operation, and techniques for specific situations. We describe the use of ultrasound guidance to avoid and identify various complications associated with this procedure. We have also reviewed recent recommendations and guidelines for the use of ultrasound for central venous access and the current evidence pertaining to the recommendations for the expected level of training, methodology, and metrics for establishing competency.

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Citations

Jul 23, 2020·Critical Care Explorations·Lauren E GibsonMarvin G Chang
May 3, 2020·Advanced Emergency Nursing Journal·Nichole A CrenshawJohis Ortega
Apr 10, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Sadia Raheez QamarSavvas Nicolaou
Apr 18, 2021·Journal of Clinical Monitoring and Computing·Ann PrivorotskiyJuan P Cata
Jul 20, 2021·The Journal of Vascular Access·Giacomo FornerisMaurizio Gallieni

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Methods Mentioned

BETA
X-Ray
dissection
imaging technique

Software Mentioned

FoCUS

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