Ultrasound Guidance for Central Venous Access: Current Evidence and Clinical Recommendations.
J Intensive Care Med
; 35(3): 303-321, 2020 Mar.
Article
in En
| MEDLINE
| ID: mdl-31387439
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.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Catheterization, Central Venous
/
Practice Guidelines as Topic
/
Ultrasonography, Interventional
/
Evidence-Based Medicine
Type of study:
Guideline
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
J Intensive Care Med
Journal subject:
TERAPIA INTENSIVA
Year:
2020
Type:
Article
Affiliation country:
United States