Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization

Braß, Patrick; Hellmich, Martin; Kolodziej, Laurentius; Schick, Guido; Smith, Andrew F

doi:10.1002/14651858.cd011447

Cited by 204 publications

(228 citation statements)

References 80 publications

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“…Catheters in other locations are considered to be malpositioned. Central venous catheterization via the subclavian vein has the highest incidence of malpositioning (9), and the most common malposition is in the right atrium. Malpositioning may be the result of an inappropriate catheter size or excessive advancement of the catheter.…”

Section: Hydrothorax Is a Rare Condition (2) Jabeen Et Al (3)mentioning

confidence: 99%

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Hydrothorax caused by catheter malposition misdiagnosed via using plain radiography

Ergül¹,

Özcan²,

Torun³

2017

J Turgut Ozal Med Cent

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We report the case of a child with hydrothorax caused by the misidentification of catheter malposition using plain radiography. A 9-month-old girl underwent central venous catheterization via the right subclavian vein. Catheter tip was evaluated mistakenly as in the right atrium by plain radiography. The catheter was retracted 2 cm and 1/3 normal saline infusion was initiated at 15 ml/hr. The patient became hypoxemic at the 20th hour of fluid infusion. On radiography, the right lung was completely opaque and the catheter tip was positioned in the right lung. Bedside sonography revealed a massive pleural effusion in the right lung and the catheter tip in the right pleural space. The catheter was removed and the pleural effusion was drained via chest tube. The location of the catheter tip should be determined by an accurate technique before infusing fluid. Plain radiography can be misleading for the detection of malposition.

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Section: Hydrothorax Is a Rare Condition (2) Jabeen Et Al (3)mentioning

confidence: 99%

“…Stroud et al (10) derived a formula based on body surface area to determine the optimal catheter length to prevent placement distal to the junction of the right atrium and vena cava. Malposition is less common in sonography-assisted catheterization (5,9).…”

Section: Hydrothorax Is a Rare Condition (2) Jabeen Et Al (3)mentioning

confidence: 99%

Hydrothorax caused by catheter malposition misdiagnosed via using plain radiography

Ergül¹,

Özcan²,

Torun³

2017

J Turgut Ozal Med Cent

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“…The advantages of ultrasoundbased techniques over landmarkoriented techniques in terms of safety, and the rate of successful first passes have been proven in many ran domized trials and metaanalyses [17][18][19][20]. For this reason, many experts and guidelines from professional societies recommend performing catheterization with ultrasound equipment [12,21,22].…”

Section: Application Of Ultrasonographymentioning

confidence: 99%

“…Some significant large studies are not free of such imprecision [35]. The misuse of the appropriate ana tomical nomenclature hinders the comparison of different techniques of cannulation and the creation of guidelines [20,21]. Despite growing evidence, the recommendations of experts still do not include access via the axillary vein in their guidelines.…”

Section: Real-time Ultrasound Guidancementioning

confidence: 99%

Infraclavicular access to the axillary vein — new possibilities for the catheterization of the central veins in the intensive care unit

Gawda¹,

Czarnik²,

Łysenko

2016

Anaesthesiol Intensive Ther

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Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditio nally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable for critically ill patients. For this reason, the axillary vein seems to be a rational alternative approach. In this narrative review, we evaluate the usefulness of the infraclavicular access to the axillary vein. The existing evidence suggests that infraclavicular approach to the axillary vein is a reliable method of central vein catheterization, especially when performed with ultrasound guidance.

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“…However, due to its real-time nature and utility in the identification and visualization of vascular structures, US became increasingly popular for use in acquiring central (and difficult peripheral) venous access [15,16]. Critical factors that led clinicians other than radiologists to use it for therapeutic interventions were its reliability, portability, and cost-effectiveness.…”

Section: Organization Of the Reviewmentioning

confidence: 99%

Ultrasound-Guided Interventional Procedures for Chronic Pain Management

et al. 2015

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Ultrasonography has multiple advantages over traditional radiologic imaging modalities when used for interventional procedures. It allows improved visualization of the anatomy while avoiding ionizing radiation and risks associated with contrast use. It has proved superiority at accuracy of delivery and procedural effectiveness over blind procedures when used in association with interventional pain procedures. Although limited in its ability to see through bony structures, ultrasound has utility in visualizing soft tissues and vascular structures in anatomic regions of interest resulting in increased use for posterior neuraxial, periaxial, peripheral nerve and joint-related structures. Current evidence for use in these settings is presented here. In some cases, optimal utility may be improved by combining ultrasonography with other imaging modalities. KEYWORDS• chronic pain management Advantages of ultrasound imagingInterventional pain procedures were traditionally performed under fluoroscopic (FS), computed tomography (CT) or MRI guidance. The use of ultrasound (US) to perform injections for chronic pain has significantly increased in the past decade [1,2]. This increase is attributed to its multiple advantages over other imaging modalities including ease of performance, absence of ionizing radiation, better visualization of soft tissue (i.e., muscle, ligament) and blood vessels, real time visualization of needle advancement and, at times, the ability to observe the spread of injectate [3]. US Practice points• Use of ultrasound in medicine has grown with smaller size equipment, increased portability and decreased cost.• Ultrasound has multiple advantages over radiographic imaging when used for interventional pain procedures.• Sonography is useful for medial branch blocks and intra-articular facet blocks in the cervical and lumbar spine but there is little evidence to support its use in the thoracic spine.• Ultrasonography is limited in utility for many types of axial injections because of bony and acoustic shadowing artifact but it does show some promise with transforaminal epidurals or selective nerve root blocks.• Ultrasound guidance is effective in preventing soft tissue and vascular injury in stellate ganglion blocks compared with blind techniques. Soft tissue and vascular anomalies can be identified that fluoroscopic technique will miss.• Ultrasound improves accuracy and efficacy in ilioinguinal, iliohypogastric and genitofemoral blocks for inguinal and testicular pain.• Lateral femoral cutaneous nerve injections are more accurate under ultrasound guidance, especially given the anatomic variation the nerve exhibits in cadaver dissections.• Injections into the knee, shoulder and hip joints are more successful when performed using ultrasound.For reprint orders, please contact: reprints@futuremedicine.com

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Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization

Cited by 204 publications

References 80 publications

Hydrothorax caused by catheter malposition misdiagnosed via using plain radiography

Hydrothorax caused by catheter malposition misdiagnosed via using plain radiography

Infraclavicular access to the axillary vein — new possibilities for the catheterization of the central veins in the intensive care unit

Ultrasound-Guided Interventional Procedures for Chronic Pain Management

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