Ultrasound guidance for central venous catheter placement in Australasian emergency departments: Potential barriers to more widespread use

Abstract

We found that only 37% of FACEM respondents routinely used US to guide placement of CVCs and a number of barriers to more frequent use are identified. Practices and opinions regarding US use differed significantly between routine and non-routine users.

Ultrasound use in Australasian emergency departments: A survey of Australasian College for Emergency Medicine Fellows and Trainees

“…In another study, Matera and colleagues found that 37% of Australasian emergency physicians use US to guide placement of central venous access catheters. Reasons for not using US guidance included concerns that it might take too long, and not having done an US course …”

“…Reasons for not using US guidance included concerns that it might take too long, and not having done an US course. 12 Little information is known about the use of EDUS by individual ACEM Trainees and emergency physicians.…”

Central Venous Catheterization

“…[16][17][18][19][20] The published evidence to date suggests that ultrasound guidance remains underused by emergency physicians. [21][22][23][24] To our knowledge, no prior studies have investigated the recent trends in the use of ultrasound guidance for central venous catheterization. The objectives of this study were to assess the selfreported frequency of use of ultrasound guidance for central venous catheterization by emergency medicine (EM) residents, describe residents' perceptions regarding the use of ultrasound guidance, and identify barriers to the use of ultrasound guidance.…”

The Accuracy of the New Landmark Using Respiratory Jugular Venodilation and Direct Palpation in Right Internal Jugular Vein Access

“…The ultrasound-guided CVC is beneficial in improving success rate and reducing the incidence of complications such as arterial puncture, pneumothorax, and catheter-associated blood stream infection [16], [17]. Therefore, the use of real-time ultrasound-guided CVC has been commonly recommend in clinical practice [4], [5], [7], [8], [11].…”

“…Although ultrasound-guided CVC is recommended as a standard technique, several reasons such as the limited availability of ultrasound machine, lack of training, or longer procedure time can hinder the widespread use of ultrasound device in CVC [6], [9]–[11]. Particularly in emergency situation, which requires urgent CVC without ultrasound device, the landmark-guided technique can be useful and required to be practiced.…”