A systematic approach to ultrasound-guided central venous catheter placement—desirable modifications

Gawda, Ryszard; Czarnik, Tomasz

doi:10.1186/s13054-017-1877-9

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Gawda et al conducted a randomized trial of ultrasound-guided axillary artery catheter placement and compared it to common femoral arterial catheter placement under ultrasound guidance and concluded that the rate of vascular complications (ischemia of the extremity) was 2% in both groups. 18 Another study by Htet et al investigated a needle-guided ultrasound technique for axillary artery catheter placement in critically ill patients, and reported complications included hematoma formation (6%), non-functioning catheter (6%), and limb ischemia (1%). 17 The ischemic complications reported included a patient who developed a cold hand five days after catheter placement and whose symptoms completely resolved after catheter removal, and a second patient who developed thrombosis, but in whom the thrombosis was attributed to another condition.…”

Section: Discussionmentioning

confidence: 99%

“…12–14 Similarly, recent literature has reemerged on the role of the axillary artery for hemodynamic monitoring of critically ill patients, in addition to existing literature which dates back to the 1970's. 15–20 These recent studies have shown a high success rate of axillary arterial catheter placement when using ultrasound. Despite the recent publications of the above mentioned studies, literature on the safety profile of axillary arterial catheters remains limited.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound-guided Axillary Artery Catheter Placement and Associated Complications in Critically Ill Patients

Cardona,

Gross,

et al. 2024

J Intensive Care Med

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Background Arterial catheter placement for hemodynamic monitoring is commonly performed in critically ill patients. The radial and femoral arteries are the two sites most frequently used; there is limited data on the use of the axillary artery for this purpose. The aim of this study was to investigate the rate of complications from ultrasound-guided axillary artery catheter placement in critically ill patients. Methods A retrospective study at a tertiary care center of patients admitted to an intensive care unit who had ultrasound-guided axillary artery catheter placement during admission. Primary outcome of interest was catheter related complications, including bleeding, vascular complications, compartment syndrome, stroke or air embolism, catheter malfunction, and need for surgical intervention. Results This study identified 88 patients who had an ultrasound-guided axillary artery catheter placed during their admission. Of these 88, nine patients required multiple catheters placed, for a total of 99 axillary artery catheter placement events. The median age was 64 [IQR 48, 71], 41 (47%) were female, and median body mass index (BMI) was 26 [IQR 22, 30]. The most common complication was minor bleeding (11%), followed by catheter malfunction (2%), and vascular complications (2%). Univariate analyses did not show any association between demographics and clinical variables, and complications related to axillary arterial catheter. Conclusion The most common complication found with ultrasound-guided axillary artery catheter placement was minor bleeding, followed by catheter malfunction, and vascular complications. Ultrasound-guided axillary arterial catheters are an alternative in patients in whom radial or femoral arterial access is difficult or not possible to achieve.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided Axillary Artery Catheter Placement and Associated Complications in Critically Ill Patients

Cardona,

Gross,

et al. 2024

J Intensive Care Med

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“…In clinical practice, while inserting an ultrasound-guided port catheter; I-The anatomy of the insertion site and the localization of the vessel should be determined, II-It should be checked whether the vein is open, III-Ultrasound should be used as a guide for venous puncture, IV-The position of the needle in the vein should be checked, V-Catheter position in vein should be checked [15][16][17].…”

Section: How Is Port Catheter Placement Performed Under Ultrasound Guidance?mentioning

confidence: 99%

Port catheters: Indications, complications and quality of life

Üyetürk¹

2021

2791-6332

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Port catheters are very critical component in the care of patients with chronic diseases such as cancer that require frequent hospitalization and venous access. Because port catheters can be used for biochemical analysis of blood, administration of chemotherapeutic agents, transfusion of blood and blood products, fluid and antibiotic support, and total parenteral nutrition. Port catheters can be placed safely and easily under ultrasound guidance. Port catheters, whose early or late complications are rarely seen, provide a significant improvement in the quality of life of patients compared to other venous access catheters.

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