Ultrasound-Guided Central Venous Catheter Placement

A Structured Review and Recommendations for Clinical Practice

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

Disclosures

Crit Care. 2017;21(225) 

In This Article

Background

Although placement of a central venous catheter (CVC) is a routine procedure in intensive care medicine and anesthesiology, acute severe complications (such as arterial puncture or cannulation, hematoma, hemothorax, or pneumothorax) occur in a relevant proportion of patients.[1,2] The use of ultrasound (US) has been proposed to reduce the number of CVC complications and to increase the safety and quality of CVC placement. In this review, we describe the rationale for the use of US during CVC placement, the basic principles of this technique, and the current evidence and existing guidelines for its use. In addition, we recommend a structured approach for US-guided central venous access for clinical practice.

Comments

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