Randomized, controlled clinical trial of point-of-care limited ultrasonography assistance of central venous cannulation: The Third Sonography Outcomes Assessment Program (SOAP-3) Trial*

Milling, Truman J.; Rose, John S.; Briggs, William M.; Birkhahn, Robert; Gaeta, Theodore J.; Bove, Joseph; Melniker, Lawrence

doi:10.1097/01.ccm.0000171533.92856.e5

Cited by 293 publications

(94 citation statements)

References 27 publications

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“…Recently, real-time ultrasoundassisted guidance for catheterization of the IJV has been found to be useful, especially for the diffi cult case of a small-sized vein [1,2]. One of the problems with real-time ultrasound-assisted guidance is that the vein can be collapsed unintentionally by the ultrasound probe itself.…”

Section: Discussionmentioning

confidence: 99%

“…

useful, especially for a small-sized vein [1,2], which is diffi cult to catheterize. One of the problems with realtime guidance is that the ultrasound probe itself can collapse the vein, and meticulous handling of the probe is thus needed for successful puncture [3].

We have developed a novel "skin-traction method (STM)", in which the puncture point of the skin over the IJV is stretched upwards with several pieces of surgical tape in the cephalad and caudal directions with aim of facilitating catheterization of the IJV.

…”

mentioning

confidence: 99%

“…useful, especially for a small-sized vein [1,2], which is diffi cult to catheterize. One of the problems with realtime guidance is that the ultrasound probe itself can collapse the vein, and meticulous handling of the probe is thus needed for successful puncture [3].…”

mentioning

confidence: 99%

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Skin-traction method prevents the collapse of the internal jugular vein caused by an ultrasound probe in real-time ultrasound-assisted guidance

et al. 2009

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Section: Discussionmentioning

confidence: 99%

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Skin-traction method prevents the collapse of the internal jugular vein caused by an ultrasound probe in real-time ultrasound-assisted guidance

et al. 2009

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“…It is felt that these measures may have helped prevent close to half the reported central line related claims. The utility of ultrasound guided central line placement is now generally recognized and was recently incorporated as an SCA guideline [6,7].…”

Section: Discussionmentioning

confidence: 99%

Occult Hemothorax after Transcatheter Aortic Valve Implantation (TAVI)

Eichenbaum¹,

Noorda²,

Bethune³

et al. 2013

OJAnes

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We present a case of occult hemothorax, a rare but dangerous complication resulting from cannulation of the internal jugular vein. To date we are not aware of any case reports of bleeding sequelae resulting from direct parenchymal lung injury. The insidious nature of this complication, in which the clinical presentation occurred several hours after central venous cannulation, provides an important reminder for clinicians to follow up central line placement with imaging studies. In this case, the latent period prior to the appearance of clinical manifestations of hemorrhage along with the patient's subsequent acute decompensation raises questions as to the nature of the underlying injury and mechanisms of both detection and prevention. The patient underwent two right video-assisted thoracoscopic surgical explorations, the first revealed ongoing venous bleeding from within the parenchyma of the right upper lobe which was controlled by a wedge resection. She was ultimately discharged home and, as of the time of this writing, appears to have recovered completely, suffering no long-term sequelae as a result of this complication.

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“…This method has been reported to be superior to the classical landmark method but to be inferior to the real-time US guidance method [10,11]. We aimed to enhance the reliability of the pre-puncture screening method for young physicians so they can perform CVC insertion on their own.…”

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confidence: 97%

Transcutaneous pressure at which the internal jugular vein is collapsed on ultrasonic imaging predicts easiness of the venous puncture

et al. 2011

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Even though we use ultrasound guidance for central venous puncture, we sometimes experience difficulties. We infer that in such cases the vein is collapsed and that the transcutaneous ultrasound probe pressure at which the vein is collapsed (P (tc)) may predict the easiness of the venous puncture. We measured P (tc) and the diameter of the internal jugular vein in 47 adult patients in our ICU. After successful puncture, we also measured venous pressure (P (v)). The patients were divided into two groups based on the number of puncture attempts: ≥3 attempts constituted the "difficult group" and <3 attempts was considered the "easy group:" 33 patients were in the easy group and 14 patients were in the difficult group. The easy group showed significantly higher P (tc) value (9.3 ± 3.8 vs. 3.5 ± 0.9 cmH(2)O, P < 0.0001) and larger vertical diameter (9.2 ± 3.1 vs. 6.8 ± 2.2 mm, P = 0.013) than the difficult group. We observed a clear border between the minimum P (tc) in the easy group (6 cmH(2)O) and the maximum value in the difficult group (5 cmH(2)O). In conclusion, venous collapsibility and vertical diameter determine difficulty in performing venous puncture.

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Randomized, controlled clinical trial of point-of-care limited ultrasonography assistance of central venous cannulation: The Third Sonography Outcomes Assessment Program (SOAP-3) Trial*

Cited by 293 publications

References 27 publications

Skin-traction method prevents the collapse of the internal jugular vein caused by an ultrasound probe in real-time ultrasound-assisted guidance

Skin-traction method prevents the collapse of the internal jugular vein caused by an ultrasound probe in real-time ultrasound-assisted guidance

Occult Hemothorax after Transcatheter Aortic Valve Implantation (TAVI)

Transcutaneous pressure at which the internal jugular vein is collapsed on ultrasonic imaging predicts easiness of the venous puncture

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