International evidence-based recommendations on ultrasound-guided vascular access

Lamperti, Massimo; Bodenham, Andrew; Pittiruti, Mauro; Blaivas, Michael; Augoustides, John; Elbarbary, Mahmoud; Pirotte, Thierry; Karakitsos, Dimitrios; LeDonne, Jack; Doniger, Stephanie J.; Scoppettuolo, Giancarlo; Feller‐Kopman, David; Schummer, Wolfram; Biffi, Roberto; Desruennes, Éric; Melniker, Lawrence; Verghese, Susan T.

doi:10.1007/s00134-012-2597-x

Cited by 651 publications

(529 citation statements)

References 73 publications

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“…Compared with the conventional blind insertion, ultrasound assistance can also reduce the rates of catheterization failure and incorrect catheter placement, increase the likelihood of success at the first pass, shorten procedure times, and reduce costs. These findings have been confirmed in recently published practice guidelines [18,19].…”

Section: Introductionsupporting

confidence: 75%

“…In numerous practice guidelines [15,18,19], routine use of real-time ultrasound guidance is recommended, on the basis of high-quality evidence, for catheterizing the internal jugular vein, and if real-time guidance is not possible, ultrasound assistance [18]. Sonography can be used before catheterization to characterize vessel anatomy and verify patency, during catheterization to avoid trauma to structures close to the vessel (e.g., pleura, internal carotid artery), and at the end of the procedure to identify any complications (e.g., hematoma, pneumothorax).…”

Section: Internal Jugular Veinmentioning

confidence: 99%

“…Ultrasound is not indicated for routine catheterization of peripheral veins, but when access is expected to be complicated, imaging guidance can increase the chances of successful cannulation, thereby eliminating the need to resort to the placement of a central venous line [19]. Observational studies [22,23] have shown that ultrasound guidance is superior to the traditional, free-hand technique, but this finding was not confirmed in a randomized study conducted in a small sample of patients [46], so the debate remains open.…”

Section: Peripheral Veinsmentioning

confidence: 99%

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Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

et al. 2013

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Vascular access used in the treatment of patients involves central and peripheral vein accesses and arterial accesses. Catheterization of central veins is widely used in clinical practice; it is a necessary part of the treatment of patients in various settings. The most commonly involved vessels are the internal jugular, subclavian, and femoral veins. The mechanical, infectious, and thrombotic complications of central venous catheterization are markedly reduced when the procedure is performed with real-time ultrasound guidance or (to a slightly lesser extent) ultrasound assistance. Ultrasound guidance is also used to create peripheral venous accesses, for catheterization of peripheral veins and for peripheral insertion of central venous catheters. In this setting, it increases the catheterization success rate, especially during difficult procedures (e.g., obese patients, children) and reduces complications such as catheter-related infections and venous thrombosis. Arterial cannulation is used for invasive monitoring of arterial pressure and for access during diagnostic or therapeutic procedures. Ultrasound guidance reduces the risk of catheterization failure and complications. It is especially useful for arterial catheterization procedures performed in the absence of a palpable pulse (e.g., patient in shock, ECMO). Imaging support is being used increasingly to facilitate the creation of vascular accesses under difficult conditions, in part because of the growing use of ultrasonography as a bedside procedure. In clinical settings where patients are becoming increasingly vulnerable as a result of advanced age and/or complex disease, the possibility to reduce the risks associated with these invasive procedures should motivate clinicians to acquire the technical skills needed for routine use of sonographic support during vascular access procedures. Keywords Vascular access Á UltrasoundRiassunto Gli accessi vascolari utilizzati nella cura dei pazienti comprendono gli accessi venosi centrali e periferici e gli accessi arteriosi. L'incannulamento di accessi venosi centrali è manovra largamente diffusa nella pratica clinica e si rende necessaria per la cura dei pazienti in molteplici contesti. I vasi centrali che usualmente vengono incannulati sono la vena giugulare interna, la vena succlavia e la vena femorale. Nell'incannulamento venoso centrale sia l'eco-assistenza che l'eco-guida real time, pur con una leggera superiorità di quest'ultima, riducono drasticamente le complicanze meccaniche, infettive e trombotiche. La guida ecografica viene utilizzata anche per l'accesso venoso periferico, per l'incannulamento di vasi periferici e di vasi centrali a inserzione periferica (PICC). In questo contesto la guida ecografica aumenta il successo della manovra di incannulamento soprattutto in condizioni di difficoltà, come avviene nei pazienti obesi o nei bambini, e diminuisce le complicanze quali le infezioni catetere correlate e le trombosi venose. L'incannulamento arterioso viene utilizzato per il monitoraggio cruent...

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Section: Introductionsupporting

confidence: 75%

Section: Internal Jugular Veinmentioning

confidence: 99%

Section: Peripheral Veinsmentioning

confidence: 99%

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Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

et al. 2013

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“…There is no doubt that certain applications of CCUS, such as renal ultrasonography for evaluation of kidney failure [2], pleural ultrasonography for identification and characterization of pleural fluid [3], ultrasonography for diagnosis of deep venous thrombosis [4], and ultrasonography for procedural guidance, should be routine in the intensive care unit. For the latter application, ultrasonography for guidance of vascular access should be considered as mandatory [5], while the use of ultrasonography in the patient on ventilatory support makes thoracentesis both feasible and safe [6].…”

mentioning

confidence: 99%

Echography is mandatory for the initial management of critically ill patients: We are not sure

Mayo

Maury

2014

Intensive Care Med

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“…Insertion of central lines and arterial lines is required in such a patient, and in the presence of shock a US-guided approach saves time and complications. A peripherally inserted central venous catheter could be inserted in a deep peripheral vein of the arm by ultrasound guidance, thereby reducing the risks of major complications such as pneumothorax and arterial puncture [5]. Choosing an appropriate size of the catheter according to the size of the vein can reduce the risk of haematoma and thrombosis.…”

mentioning

confidence: 99%

Echography is mandatory for the initial management of critically ill patients: Yes

McLean

Lamperti²,

Poelaert

2014

Intensive Care Med

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International evidence-based recommendations on ultrasound-guided vascular access

Abstract: Purpose: To provide clinicians with an evidence-based overview of all topics related to ultrasound vascular access. Methods: An international evidence-based consensus provided definitions and recommendations.

Cited by 651 publications

References 73 publications

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

Echography is mandatory for the initial management of critically ill patients: We are not sure

Echography is mandatory for the initial management of critically ill patients: Yes

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