Safety of ultrasound-guided central venous access in critically ill patients with uncorrected coagulopathy

Reusz, Géza; Langer, Csilla; Egervari, G; Sárkány, Péter; Csomós, Ákos

doi:10.1186/cc12111

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…No major complications such as pneumothorax, vascular thrombosis & large growing hematomas were encountered in our study. This agrees with results obtained by Reusz G and his colleagues [19] , who succeeded in CVC insertion in 41 patients with severe uncorrected coagulopathy and in a further 76 patients with coagulopathy of moderate severity using ultrasound guidance with no associated major complications.…”

Section: Discussionsupporting

confidence: 91%

Image Guided Techniques for Central Venous Access in Critically Ill Pediatric Patients

GHOBASHY¹,

GAD²,

BAZARAA

2022

The Medical Journal of Cairo University

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Background: Image guided inserted central venous catheters are used extensively in neonates and children. Aim of Study:This study aimed to evaluate the technical and functional aspects concerning image guided central venous lines in critically ill pediatric patients.Patients and Methods: This prospective study done included 20 pediatric patients, 10 patients of them underwent peripheral central catheters insertion while, the other 10 patients had traditional central venous lines using ultrasound and/or fluoroscopy guidance for different indications.Results: Venous access devices (VADs) were successfully provided for 20 patients. There were 12 males (60%) and 8 females (40%) with a mean age of 4.91 years (range, 0-15 years). The right internal jugular vein was the main site of entrance for 5 cases (25%); 2 patients coming for bone marrow transplantation BMT & 3 patients on regular hemodialysis. The left internal jugular vein was used for 3 cases (15%); 2 cases on hemodialysis and one case for BMT. The right subclavian vein was used in 4 cases (20%) with end stage renal disease on hemodialysis. The left femoral vein was used for 3 (15%) PICC lines with septic shock and inotropes. The right femoral vein was used for 2 (10%) PICC lines with multisystem organ failure. The right basilic vein was used for 1 PICC line (5%) and the left greater saphenous vein was used in another 2 PICC lines (10%). Conclusion:Image guided vascular venous access technique is considered as a feasible, safe and valuable option in critically ill pediatric patients.

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Section: Discussionsupporting

confidence: 91%

Image Guided Techniques for Central Venous Access in Critically Ill Pediatric Patients

GHOBASHY¹,

GAD²,

BAZARAA

2022

The Medical Journal of Cairo University

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“…G Ruesz have suggested that ultrasound guided CVC placement without routine correction of coagulation abnormalities may be safe in the ICU. 2 Real time ultrasonography helps cannulation of central veins under direct visualization, thus reducing the chances of complications. Another advantage that USG cannulation offers is the visualization of vessels in hypotensive patients in whom carotid artery is difficult to palpate for landmark identification.…”

mentioning

confidence: 99%

Ultrasound guided emergency cannulation of internal jugular vein in coagulopathic adult patients a prospective observational pilot study.

Shrestha

Koirala

Gurung

et al. 2017

Bangladesh Crit Care J

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Safety of ultrasound-guided central venous access in critically ill patients with uncorrected coagulopathy

Cited by 2 publications

References 2 publications

Image Guided Techniques for Central Venous Access in Critically Ill Pediatric Patients

Image Guided Techniques for Central Venous Access in Critically Ill Pediatric Patients

Ultrasound guided emergency cannulation of internal jugular vein in coagulopathic adult patients a prospective observational pilot study.

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Safety of ultrasound-guided central venous access in critically ill patients with uncorrected coagulopathy

Cited by 2 publications

References 2 publications

Image Guided Techniques for Central Venous Access in Critically Ill Pediatric Patients

Image Guided Techniques for Central Venous Access in Critically Ill Pediatric Patients

Ultrasound guided emergency cannulation of internal jugular vein in coagulopathic adult patients  a prospective observational pilot study.

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Ultrasound guided emergency cannulation of internal jugular vein in coagulopathic adult patients a prospective observational pilot study.