Publication

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice

Saugel, B., Scheeren, T. W. L. & Teboul, J-L. 28-Aug-2017 In : Critical care (London, England). 21, 1, 11 p., 225

Research output: Scientific - peer-reviewReview article

APA

Saugel, B., Scheeren, T. W. L., & Teboul, J-L. (2017). Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Critical care (London, England), 21(1), [225]. DOI: 10.1186/s13054-017-1814-y

Author

Saugel, Bernd; Scheeren, Thomas W L; Teboul, Jean-Louis / Ultrasound-guided central venous catheter placement : a structured review and recommendations for clinical practice.

In: Critical care (London, England), Vol. 21, No. 1, 225, 28.08.2017.

Research output: Scientific - peer-reviewReview article

Harvard

Saugel, B, Scheeren, TWL & Teboul, J-L 2017, 'Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice' Critical care (London, England), vol 21, no. 1, 225. DOI: 10.1186/s13054-017-1814-y

Standard

Ultrasound-guided central venous catheter placement : a structured review and recommendations for clinical practice. / Saugel, Bernd; Scheeren, Thomas W L; Teboul, Jean-Louis.

In: Critical care (London, England), Vol. 21, No. 1, 225, 28.08.2017.

Research output: Scientific - peer-reviewReview article

Vancouver

Saugel B, Scheeren TWL, Teboul J-L. Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Critical care (London, England). 2017 Aug 28;21(1). 225. Available from, DOI: 10.1186/s13054-017-1814-y


BibTeX

@article{f2e174bae38c482c9d9370ca1b57cf3f,
title = "Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice",
abstract = "The use of ultrasound (US) has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this review, we describe the rationale for the use of US during CVC placement, the basic principles of this technique, and the current evidence and existing guidelines for its use. In addition, we recommend a structured approach for US-guided central venous access for clinical practice. Static and real-time US can be used to visualize the anatomy and patency of the target vein in a short-axis and a long-axis view. US-guided needle advancement can be performed in an {"}out-of-plane{"} and an {"}in-plane{"} technique. There is clear evidence that US offers gains in safety and quality during CVC placement in the internal jugular vein. For the subclavian and femoral veins, US offers small gains in safety and quality. Based on the available evidence from clinical studies, several guidelines from medical societies strongly recommend the use of US for CVC placement in the internal jugular vein. Data from survey studies show that there is still a gap between the existing evidence and guidelines and the use of US in clinical practice. For clinical practice, we recommend a six-step systematic approach for US-guided central venous access that includes assessing the target vein (anatomy and vessel localization, vessel patency), using real-time US guidance for puncture of the vein, and confirming the correct needle, wire, and catheter position in the vein. To achieve the best skill level for CVC placement the knowledge from anatomic landmark techniques and the knowledge from US-guided CVC placement need to be combined and integrated.",
keywords = "Central venous access, Ultrasound, Internal jugular vein, Subclavian vein, Femoral vein, Short axis, Long axis, Out of plane, In plane, INTERNAL JUGULAR-VEIN, RANDOMIZED CONTROLLED-TRIAL, CRITICALLY-ILL PATIENTS, ANATOMICAL VARIATIONS, VASCULAR ACCESS, FEMORAL VEIN, SHORT-AXIS, INTERVENTIONAL ULTRASOUND, HEAD ROTATION, NEEDLE GUIDE",
author = "Bernd Saugel and Scheeren, {Thomas W L} and Jean-Louis Teboul",
year = "2017",
month = "8",
doi = "10.1186/s13054-017-1814-y",
volume = "21",
journal = "Critical Care",
issn = "1466-609X",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Ultrasound-guided central venous catheter placement

T2 - Critical Care

AU - Saugel,Bernd

AU - Scheeren,Thomas W L

AU - Teboul,Jean-Louis

PY - 2017/8/28

Y1 - 2017/8/28

N2 - The use of ultrasound (US) has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this review, we describe the rationale for the use of US during CVC placement, the basic principles of this technique, and the current evidence and existing guidelines for its use. In addition, we recommend a structured approach for US-guided central venous access for clinical practice. Static and real-time US can be used to visualize the anatomy and patency of the target vein in a short-axis and a long-axis view. US-guided needle advancement can be performed in an "out-of-plane" and an "in-plane" technique. There is clear evidence that US offers gains in safety and quality during CVC placement in the internal jugular vein. For the subclavian and femoral veins, US offers small gains in safety and quality. Based on the available evidence from clinical studies, several guidelines from medical societies strongly recommend the use of US for CVC placement in the internal jugular vein. Data from survey studies show that there is still a gap between the existing evidence and guidelines and the use of US in clinical practice. For clinical practice, we recommend a six-step systematic approach for US-guided central venous access that includes assessing the target vein (anatomy and vessel localization, vessel patency), using real-time US guidance for puncture of the vein, and confirming the correct needle, wire, and catheter position in the vein. To achieve the best skill level for CVC placement the knowledge from anatomic landmark techniques and the knowledge from US-guided CVC placement need to be combined and integrated.

AB - The use of ultrasound (US) has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this review, we describe the rationale for the use of US during CVC placement, the basic principles of this technique, and the current evidence and existing guidelines for its use. In addition, we recommend a structured approach for US-guided central venous access for clinical practice. Static and real-time US can be used to visualize the anatomy and patency of the target vein in a short-axis and a long-axis view. US-guided needle advancement can be performed in an "out-of-plane" and an "in-plane" technique. There is clear evidence that US offers gains in safety and quality during CVC placement in the internal jugular vein. For the subclavian and femoral veins, US offers small gains in safety and quality. Based on the available evidence from clinical studies, several guidelines from medical societies strongly recommend the use of US for CVC placement in the internal jugular vein. Data from survey studies show that there is still a gap between the existing evidence and guidelines and the use of US in clinical practice. For clinical practice, we recommend a six-step systematic approach for US-guided central venous access that includes assessing the target vein (anatomy and vessel localization, vessel patency), using real-time US guidance for puncture of the vein, and confirming the correct needle, wire, and catheter position in the vein. To achieve the best skill level for CVC placement the knowledge from anatomic landmark techniques and the knowledge from US-guided CVC placement need to be combined and integrated.

KW - Central venous access

KW - Ultrasound

KW - Internal jugular vein

KW - Subclavian vein

KW - Femoral vein

KW - Short axis

KW - Long axis

KW - Out of plane

KW - In plane

KW - INTERNAL JUGULAR-VEIN

KW - RANDOMIZED CONTROLLED-TRIAL

KW - CRITICALLY-ILL PATIENTS

KW - ANATOMICAL VARIATIONS

KW - VASCULAR ACCESS

KW - FEMORAL VEIN

KW - SHORT-AXIS

KW - INTERVENTIONAL ULTRASOUND

KW - HEAD ROTATION

KW - NEEDLE GUIDE

U2 - 10.1186/s13054-017-1814-y

DO - 10.1186/s13054-017-1814-y

M3 - Review article

VL - 21

JO - Critical Care

JF - Critical Care

SN - 1466-609X

IS - 1

M1 - 225

ER -

ID: 47225954