Ultrasound-Guided Central Venous Catheter Placement

A Structured Review and Recommendations for Clinical Practice

Bernd Saugel; Thomas W. L. Scheeren; Jean-Louis Teboul


Crit Care. 2017;21(225) 

In This Article


US guidance can improve patient safety and procedural quality during CVC placement in the IJV, FV, and SV. Based on evidence from clinical studies, several guidelines of medical societies strongly recommend the use of US for CVC placement in the IJV. Data from survey studies show that there is still a gap between the existing evidence and guidelines and the use of US in clinical practice. We recommend a six-step systematic approach for US-guided central venous access. To achieve the best skill level for CVC placement the knowledge from anatomic landmark techniques and the knowledge from US-guided CVC placement need to be combined and integrated.