Ultrasound-guided central venous catheter placement by surgical trainees: a safe procedure?

The Journal of Vascular Access
Marijn HameetemanJan H M Tordoir

Abstract

Central venous catheters (CVCs) are widely used to create a temporary or long-term access to the central venous system. A variety of treatments require a functional central venous access, including hemodialysis, administration of drugs, plasmapheresis and parenteral nutrition. The aim of this study was to evaluate the results of CVC placement performed by surgical trainees, according to a strict protocol of ultrasound-guided puncture and fluoroscopy-guided catheter insertion in a large teaching hospital in an outpatient setting. Between 1 January 2006 and 31 December 2008, 539 CVCs were placed, of which 486 were primary inserted by surgical trainees. All placements were ultrasound- and fluoroscopy-guided. After every placement operators recorded type of catheter, type of anesthesia, subcutaneous tunneling, technique of insertion and complications. The study population consisted of 52% males. Access sites of CVCs were the internal jugular vein (91%), subclavian vein (5%) and other veins (3%). Technical success rate was 96.5%. Complication rate was 8.4%, of which 93% were arterial punctures. Pneumothorax occurred in three patients. CVC placement by surgical trainees is a safe procedure when using a strict protocol of ultrasound-g...Continue Reading

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Citations

May 7, 2016·The Journal of Vascular Access·Maxim Yu Rykov, Vladimir G Polyakov
Sep 28, 2013·Pediatric Surgery International·R C WraggG S Arul
Jan 22, 2013·The Journal of Vascular Access·Masanori WakabayashiTsunemichi Wakabayashi
May 23, 2012·The Journal of Vascular Access·Onur S GökselUfuk Alpagut
Dec 2, 2019·Journal of Anesthesia·UNKNOWN Safety Committee of Japanese Society of Anesthesiologists
May 3, 2011·The Journal of Vascular Access·Maurizio GallieniUmberto Genovese
Jan 20, 2021·JAMA : the Journal of the American Medical Association·Karen WooPeter F Lawrence
Oct 30, 2021·The Journal of Vascular Access·Petra Cristina van den BogertPaulo Eduardo Muller de Macedo

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