Central Vascular Catheter Placement Evaluation Using Saline Flush and Bedside Echocardiography

Weekes, Anthony J.; Keller, Stephen M.; Johnson, Deborah; Efune, Bradley; Carey, Christopher; Rozario, Nigel; Norton, H. James

doi:10.1016/j.annemergmed.2013.07.368

Cited by 5 publications

(10 citation statements)

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“…This involves injecting a small amount (<10 mL) of saline that has been agitated with air and then had large air bubbles removed from the syringe. 19 When the catheter is properly placed, injection of agitated saline produces hyperechoic contrast within the lumen of the vessel, verifying the proper position. For central catheters, this can be performed while visualizing the right atrium of the heart, which may be improved by using a low-frequency transducer such as a curvilinear or phased array transducer.…”

Section: E Site Selection and Preparationmentioning

confidence: 97%

AIUM Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures

2019

J of Ultrasound Medicine

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Section: E Site Selection and Preparationmentioning

confidence: 97%

AIUM Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures

2019

J of Ultrasound Medicine

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“…Most clinical studies addressing ultrasound-based tip location of central venous access in adult patients have adopted 2.5-3.5 MHz sectorial probes (phased array). 15,24,[28][29][30][31][32][33][34] The subcostal four-chamber (longitudinal) view has been considered as the first choice in most studies 15,24,28,29,[31][32][33][34] : this view can be easily applied in patients with respiratory problems (mechanical ventilation, lung emphysema) but it may be difficult in some cases of previous surgery of the upper abdomen. 27,34 An alternative option is the fourchamber transthoracic apical view, which-on the other hand-may be difficult in obese patients 27,34 and in patients with acute or chronic lung disease.…”

Section: Tip Location By Direct Visualization Of the Final Position Of The Tip Of The Cathetermentioning

confidence: 99%

ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients

et al. 2021

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Central venous access devices are routinely used in clinical practice for administration of fluids and medications, for drawing blood samples and for hemodynamic monitoring. The adoption of ultrasound guided venipuncture has significantly reduced procedure-related complications, as documented by the recommendations of most recent guidelines. Ultrasound has also an important role also in other aspects of central venous catheterization, such as in the pre-procedural evaluation of the venous patrimony and in the detection of early and late non-infective complications. Recently, bedside ultrasound has been regarded as a promising tool also for ensuring an accurate and intraprocedural method of tip navigation and tip location. The aim of this paper is to review all the evidence about the accuracy of ultrasound methods for tip navigation and tip location in adult patients, and to suggest a structured standardized protocol for clinical practice.

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“…Además, determina la adecuada ubicación de la punta del catéter venoso central con una sensibilidad del 70% y una especificidad del 100% con la prueba de solución salina 33 . Para toracentesis, la ecografía aumenta probabilidad de éxito y reduce el riesgo de punción de órganos 34 .…”

Section: Procedimientos Invasivosunclassified

Utilidad de la ecografía en reanimación

Pérez-Coronado

Franco-Gruntorad

2015

Revista Colombiana de Anestesiología

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información del artículo Historia del artículo: Recibido el 10 de septiembre de 2014 Aceptado el 2 de marzo de 2015 On-line el xxx Palabras clave: Ecografía Resucitación cardiopulmonar Taponamiento Cardíaco Volumen Sistólico Disfunción ventricular Derecha r e s u m e nLa ecografía se ha convertido en una herramienta diagnóstica y terapéutica en situaciones críticas. Este artículo revisa la evolución de la ecografía en eventos críticos y su impacto a través de la disminución de morbimortalidad en trauma abdominal y torácico, en el reconocimiento de causas reversibles en actividad eléctrica sin pulso, en la toma de decisiones en falla ventilatoria aguda, en predicción de supervivencia y en la disminución de complicaciones en procedimientos invasivos. Se revisa cómo la ecografía realizada por no expertos con mínimo entrenamiento enfocado al reconocimiento de situaciones específicas tiene una adecuada correlación con el experto. Se revisan algunos protocolos de ecografía en reanimación descritos en la literatura y se hace una descripción de las variables más relevantes en situaciones críticas como la función ventricular izquierda, respuesta a volumen, taponamiento cardíaco, dilatación del ventrículo derecho y la evaluación pulmonar. a b s t r a c tUltrasound has become a diagnostic and therapeutic tool for critical situations. This article reviews the development of ultrasound with respect to critical events and its impact on reducing morbidity and mortality from abdominal and chest trauma, on the recognition of reversible causes of pulseless electrical activity, on decision-making in acute respiratory failure, and on predicting survival and reducing complications associated with invasive procedures. We revised how ultrasounds performed by non-experts with a minimum of training and focused on recognizing specific situations have a good degree of correlation with expert * Autor para correspondencia: Calle 163a Número 13B -60. Segundo Piso Torre A. Fundación

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Central Vascular Catheter Placement Evaluation Using Saline Flush and Bedside Echocardiography

Cited by 5 publications

References 0 publications

AIUM Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures

AIUM Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures

ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in adult patients

Utilidad de la ecografía en reanimación

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