Single-Operator Ultrasound-Guided Central Venous Catheter Insertion Verifies Proper Tip Placement*

Galante, Ori; Slutsky, Tzachi; Fuchs, Lior; Smoliakov, Alexander; Mizrakli, Yuval; Novack, Victor; Brotfein, Evgeni; Klein, Moti; Frenkel, Amit; Koifman, Leonid; Almog, Yaniv

doi:10.1097/ccm.0000000000002500

Cited by 20 publications

(27 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This new method is based on our cumulative experience, with point-of-care ultrasound (POCUS)guided central line tip localization. 5 The study was approved by the appropriate institutional review board (IRB), and requirement for written informed consent was waived by the IRB. All patients were treated in the Medical Intensive Care Unit at Soroka Medical Center, a 1000-bed universityaffiliated, tertiary referral center in southern Israel.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Accurate positioning of extracorporeal membrane oxygenation cannulas using real-time trans-thoracic echocardiography

et al. 2020

Self Cite

View full text Add to dashboard Cite

In this retrospective observational case series, we aimed to evaluate the use of real-time trans-thoracic echocardiography in accurate positioning of extracorporeal membrane oxygenation cannulas. Patients admitted to the intensive care unit with severe adult respiratory distress syndrome in need for extracorporeal membrane oxygenation were screened. Twenty-one extracorporeal membrane oxygenation cannulas were inserted in 10 patients, and 95% of the cannulas were located exactly at the vena cava–right atria junction as planned. Real-time point-of-care trans-thoracic echocardiography for the exact positioning of extracorporeal membrane oxygenation cannula is feasible, simple, time saving, and accurate.

show abstract

Section: Methodsmentioning

confidence: 99%

“…We have previously shown that real-time single operator focused cardiac ultrasound during central venous catheter (CVC) insertion is effective in verifying proper tip placement. 5 In this report, we propose that a similar technique can be effectively and safely used for real-time localization of VV-ECMO cannulas.…”

Section: Introductionmentioning

confidence: 99%

Accurate positioning of extracorporeal membrane oxygenation cannulas using real-time trans-thoracic echocardiography

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, it can be executed with 1 operator who is experienced with FoCUS. 52 While this technique requires more expertise, we believe that it is the best real-time verification of the wire in the venous system prior to vessel dilatation. This technique is also attractive for the landmark SCV cannulation technique since it helps remove the uncertainty inherent in this blind procedure.…”

Section: Guidewire Localization By Focused Cardiac Ultrasoundmentioning

confidence: 99%

“…26,[45][46][47] Ultrasound may prevent such inadvertent arterial dilatation and catheterization 47 by visualization of the guidewire within the vein, visualization within the brachiocephalic trunk, 48 or visualization of guidewire in the SVC, RA, or IVC. [49][50][51][52] Reducing complications…”

Section: Confirmation Of Venous Catheterization and Catheter Tip Posimentioning

confidence: 99%

“…Combining lung ultrasound with FoCUS examination during the procedure can potentially shorten the time to catheter utilization. 52 A lung ultrasound involves identification of the hyperechogenic line between the 2 ribs that represents the interface between visceral and parietal pleura. Lung sliding refers to dynamic movement of this hyperechogenic line synchronized with respiration.…”

Section: Lung Ultrasound Integration To Rule Out Pneumothoraxmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound Guidance for Central Venous Access: Current Evidence and Clinical Recommendations

Leibowitz

Oren-Grinberg

Matyal

2019

J Intensive Care Med

View full text Add to dashboard Cite

Ultrasound-guided central line placement has been shown to decrease the number of needle puncture attempts, complication, and failure rates. In order to obtain successful central access, it is important to have adequate cognitive knowledge, workflow understanding, and manual dexterity to safely execute this invasive procedure. The operator should also be familiar with the anatomical variations, equipment operations, and potential complications and their prevention. In this article, we present a detailed review of ultrasound-guided central venous access. It includes a description of anatomy, operative technique, equipment operation, and techniques for specific situations. We describe the use of ultrasound guidance to avoid and identify various complications associated with this procedure. We have also reviewed recent recommendations and guidelines for the use of ultrasound for central venous access and the current evidence pertaining to the recommendations for the expected level of training, methodology, and metrics for establishing competency.

show abstract

Diagnostic Value of Contrast‐Enhanced Ultrasonography for Catheter‐Related Right Brachiocephalic Vein and Superior Vena Cava Lesions in Patients Undergoing Hemodialysis—A Pilot Study

Fen,

Yin,

Li‐ming

et al. 2023

J of Ultrasound Medicine

View full text Add to dashboard Cite

ObjectivesTo evaluate the diagnostic efficacy of contrast‐enhanced ultrasonography (CEUS) for detecting catheter‐related right brachiocephalic vein (RBV) and superior vena cava (SVC) obstructions in patients undergoing hemodialysis (HD).MethodsFrom June 1, 2021 to December 31, 2022, we enrolled 80 patients undergoing HD who had used or were using a central venous catheter as vascular access. We evaluated the diagnostic efficacy of conventional ultrasonography and CEUS for identifying RBV and SVC obstructions and compared them with that of digital subtraction angiography (DSA). In the stratified analysis, the SVC was divided into the upper and lower segments. In total, we analyzed 240 central venous segments, including the RBV.ResultsAmong the RBV and SVC visualized by DSA, conventional ultrasonography and CEUS could visualize 67.92 and 100% of the vein segments, respectively; however, the lengths and diameters of the RBV and SVC were smaller than those recorded with DSA (P < .001). The diagnostic efficacy of CEUS for detecting catheter‐related central venous obstruction was better than that of conventional ultrasonography, with a higher sensitivity (83.95 vs 41.98%), specificity (89.94 vs 53.46%), accuracy (87.92 vs 49.58%), and F1 score (82.42 vs 49.64%). CEUS showed good agreement (κ = 0.732) with DSA. In the stratified analyses, CEUS also showed higher sensitivity (83.93, 83.33, and 84.62%, respectively) and better agreement with DSA (κ = 0.635, 0.655, and 0.673, respectively) than conventional ultrasonography for detecting the RBV and the upper and lower segments of the SVC.ConclusionsCEUS had high sensitivity and specificity in diagnosing catheter‐related RBV and SVC obstructions.

show abstract

Single-Operator Ultrasound-Guided Central Venous Catheter Insertion Verifies Proper Tip Placement*

Abstract: A single-operator ultrasound-guided central venous catheter insertion is effective in verifying proper tip placement and shortens time to catheter utilization.

Cited by 20 publications

References 21 publications

Accurate positioning of extracorporeal membrane oxygenation cannulas using real-time trans-thoracic echocardiography

Accurate positioning of extracorporeal membrane oxygenation cannulas using real-time trans-thoracic echocardiography

Ultrasound Guidance for Central Venous Access: Current Evidence and Clinical Recommendations

Diagnostic Value of Contrast‐Enhanced Ultrasonography for Catheter‐Related Right Brachiocephalic Vein and Superior Vena Cava Lesions in Patients Undergoing Hemodialysis—A Pilot Study

Contact Info

Product

Resources

About