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Am J Emerg Med ; 34(9): 1761-4, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27324852

RESUMEN

BACKGROUND: Point-of-care ultrasound guidance using a linear probe is well established as a tool to increase safety when performing a supradiaphragmatic cannulation of the internal jugular central vein. However, little data exist on which probe is best for performing a supradiaphragmatic cannulation of the subclavian vein. METHODS: This was a prospective, observational study at a single-site emergency department, where 5 different physician sonologists evaluate individual practice preference for visualization of the subclavian vein using a supraclavicular approach with 2 different linear probes and 1 endocavitary probe. RESULTS: Of 155 patients enrolled, there was no clear preference any of the probes (P= .03). After pooling linear probe preference, there was a preference for either linear probe over the alternative endocavitary probe (76.8% vs 23.1%, P< .05). CONCLUSION: We observed a preference for a linear probe over an endocavitary probe. Further investigation is necessary to determine which probe is optimal for this application.


Asunto(s)
Cateterismo Venoso Central/métodos , Vena Subclavia/diagnóstico por imagen , Ultrasonografía Intervencional/instrumentación , Adulto , Servicio de Urgencia en Hospital , Femenino , Humanos , Masculino , Obesidad , Sobrepeso , Sistemas de Atención de Punto , Estudios Prospectivos , Delgadez , Ultrasonografía/instrumentación
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