Pulsed Doppler Ultrasonography Guidance for Catheterization of the Subclavian Vein

Lefrant, Jean‐Yves; Cuvillon, Philippe; Bénezet, Jean-François; Dauzat, M.; Péray, Pascale; Saïssi, G.; Coussaye, Jean-Emmanuel de La; Eledjam, Jean‐Jacques

doi:10.1097/00000542-199805000-00009

Cited by 96 publications

(46 citation statements)

References 12 publications

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“…During internal jugular venous catheterization, ultrasound guidance (both 2-dimensional [2D] ultrasound-and Doppler-guided methods) clearly reduces the number of complications, failures, and time required for insertion. 36 Conversely, its use for subclavian venous catheterization has yielded inconsistent results in a small number of trials 36,39,40 : limited evidence favored 2D ultrasound guidance for subclavian vein procedures in adults (relative risk 0.14; 95% confidence interval, 0.04 to 0.57). The landmark Vascular Access in Oncology Patients method was more successful than Doppler-guided cannulation for subclavian vein procedures (1.48; 1.03 to 2.14).…”

Section: Choice Of Venous Access and Role Of Ultrasound Guidancementioning

confidence: 99%

Vascular Access in Oncology Patients

Gallieni

Pittiruti

Biffi

2008

CA: A Cancer Journal for Clinicians

256

166

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Adequate vascular access is of paramount importance in oncology patients. It is important in the initial phase of surgical treatment or chemotherapy, as well as in the chronic management of advanced cancer and in the palliative care setting. We present an overview of the available vascular access devices and of the most relevant issues regarding insertion and management of vascular access. Particular emphasis is given to the use of ultrasound guidance as the preferred technique of insertion, which has dramatically decreased insertion-related complications. Vascular access management has considerably improved after the publication of effective guidelines for the appropriate nursing of the vascular device, which has reduced the risk of late complications, such as catheter-related bloodstream infection. However, many areas of clinical practice are still lacking an evidence-based background, such as the choice of the most appropriate vascular access device in each clinical situation, as well as prevention and treatment of thrombosis. We suggest an approach to the choice of the most appropriate vascular access device for the oncology patient, based on the literature available to date. (CA Cancer J Clin 2008;58:323-346.)

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Section: Choice Of Venous Access and Role Of Ultrasound Guidancementioning

confidence: 99%

Vascular Access in Oncology Patients

Gallieni

Pittiruti

Biffi

2008

CA: A Cancer Journal for Clinicians

256

166

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“…Eight studies recorded the placement of under 50 catheters and only two studies recorded the placement of over 200 catheters. 26,32 There were 20 RCTs evaluating US guidance or Doppler US guidance for placement of CVCs. Seven evaluated Doppler US guidance against landmark method, twelve evaluated US guidance against landmark method and one evaluated both Doppler US and US guidance against a control as well as each other (see appendix 2, It should be noted that one trial 36 used both the Site Rite 7.5 MHz and Sonos 500 5.0 MHz in the same US arm of the trial without distinguishing on which patients each was used.…”

Section: Number and Type Of Studies Includedmentioning

confidence: 99%

“…The range of experience, both with respect to the medical career and use of the intervention, differed greatly from study to study. Six studies described the operators as having up to 5 years postgraduate experience, 25,27,35,37,38,41 eight as having more than 5 years, 5,10,26,28,[32][33][34]39 and two as varying in experience. 6,31 Four trials did not record the career experience of the operator.…”

Section: Number and Type Of Studies Includedmentioning

confidence: 99%

“…11,24,36,40 In terms of experience in the use of the ULD, only one study 39 made a claim of expertise for the operator, although this was not quantified. One study 32 acknowledged that its lone operator had no experience prior to the trial, as one purpose of the trial was to gauge the learning curve. In three studies, 27,37,41 the operators were inexperienced both with ULD guidance and with the landmark method.…”

Section: Number and Type Of Studies Includedmentioning

confidence: 99%

“…Six, took place on the ICU/trauma unit. 24,27,28,32,35,38 Two took place in emergency rooms, 25,41 In the seven studies involving patients scheduled for cardiac surgery, cannulation is most likely to have taken place on the way into theatre. 5,10,33,34,36,37,39 Only three seem likely to have taken place on wards or in clinics.…”

Section: Number and Type Of Studies Includedmentioning

confidence: 99%

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The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

Calvert

Hind

McWilliams

et al. 2003

Health Technol Assess

101

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Effect of Patient Position on Size and Location of the Subclavian Vein for Percutaneous Puncture

Fortune

Feustel²

2003

Arch Surg

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Pulsed Doppler Ultrasonography Guidance for Catheterization of the Subclavian Vein

Abstract: Doppler guidance reduces the incidence of inappropriately positioned subclavian catheters.

Cited by 96 publications

References 12 publications

Vascular Access in Oncology Patients

Vascular Access in Oncology Patients

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

Effect of Patient Position on Size and Location of the Subclavian Vein for Percutaneous Puncture

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