Carotid arterial cannulation: removing the risk with ultrasound?

Thompson, Calvin; Barrows, Tammy

doi:10.1007/s12630-009-9082-1

Cited by 11 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Procuring ultrasound, training to use it, making it available for every central venous cannulation may be far from reality in all the healthcare facilities. Additionally, several authors have pointed out the inadequacies while jugular ultrasound is used to assist the cannulation [8][9][10][11]. Inadvertent arterial cannulation and posterior vein wall puncture have occurred despite the ultrasound use [8,9].…”

Section: Discussionmentioning

confidence: 99%

External Jugular Venous Route for Central Venous Access: Our Experience in 563 Surgical Patients

Chakravarthy¹,

Krishnamoorthy²,

Nallam³

et al. 2011

J Anesthe Clinic Res

View full text Add to dashboard Cite

Objectives: Though external jugular vein is superficial, adequate sized, isolated from major neurovascular structures and its cannulation fairly simple and comfortable to patients, it is not commonly used. Internal jugular vein cannulation on the other hand is routinely used with reasonable success. This technique is not devoid of complications. In order to make the central venous cannulation safer, the author sought to explore the possibility of using external jugular venous route as the route of first choice to pass the vascular catheters. Design: A prospective observational study, Setting: Tertiary referral hospital Participants: Interventions: External jugular venous route as the choice of central venous cannulation Measurements and Main Results: The type of the catheter required for the procedure-single, multi lumen, Swan Ganz, dialysis or pacing catheters were inserted via the external jugular vein. Inability to advance the catheter or the guide wire was considered a failed procedure. In the event of a failure to insert and or advance the catheter, from the same point of insertion, internal jugular vein was cannulated. Ultrasound image assistance was taken if needed by the operator. In 411 subjects, the desired catheter was inserted through the EJV. In 378 patients, the catheter was inserted in the first attempt. No life threatening complications occurred even among the cases, where external jugular vein cannulation was not successful. A few malpositions occurred when the external jugular route was chosen. In very obese patients, ultrasound was used to visualize the vein.

show abstract

Section: Discussionmentioning

confidence: 99%

External Jugular Venous Route for Central Venous Access: Our Experience in 563 Surgical Patients

Chakravarthy¹,

Krishnamoorthy²,

Nallam³

et al. 2011

J Anesthe Clinic Res

View full text Add to dashboard Cite

show abstract

“…[ 11 12 13 ] Use of ultrasound does not eliminate the risk of arterial puncture, and catheters can still be inadvertently placed into the arterial system [ Figure 1 ]. [ 14 15 16 ] If there is uncertainty of the punctured vessel, a single lumen catheter can be placed over the guide wire and connected to a pressure transducer to assess for venous waveforms. [ 1 9 ]…”

Section: Vascular Complicationsmentioning

confidence: 99%

Central line complications

Kornbau

Lee

Hughes

et al. 2015

Int J Crit Illn Inj Sci

220

127

View full text Add to dashboard Cite

Central venous access is a common procedure performed in many clinical settings for a variety of indications. Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access. Significant morbidity and mortality can result from complications related to central venous access. These complications can cause a significant healthcare burden in cost, hospital days, and patient quality of life. Advances in imaging, access technique, and medical devices have reduced and altered the types of complications encountered in clinical practice; but most complications still center around vascular injury, infection, and misplacement. Recognition and management of central line complications is important when caring for patients with vascular access, but prevention is the ultimate goal. This article discusses common and rare complications associated with central venous access, as well as techniques to recognize, manage, and prevent complications.

show abstract

“…[1][2][3] However, the use of ultrasound does not eliminate the possibility of an inadvertently placed catheter into the arterial system. [4][5][6] A covered stent has been found to be very successful in the management of subclavian artery injury secondary to central vein catheter. [9][10][11][12][13][14] Two forms of covered stents are available: (1) balloon expandable and (2) self-expanding covered stent.…”

Section: Discussionmentioning

confidence: 99%