Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: A prospective randomized study*

Fragou, Mariantina; Gravvanis, Andreas; Dimitriou, V.; Papalois, Αpostolos; Kouraklis, Gregorios; Karabinis, Andréas; Saranteas, Theodosios; Poularas, John; Papanikolaou, John; Davlouros, Periklis; Labropoulos, Nicos; Karakitsos, Dimitrios

doi:10.1097/ccm.0b013e318218a1ae

Cited by 330 publications

(316 citation statements)

References 24 publications

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“…Clinical examples include the internal jugular vein (Fig. 1), the external jugular vein, the innominate vein [40], the subclavian vein [18,41], the axillary/subclavian veins ( Fig. 2) and the cephalic vein.…”

Section: Recommendationsmentioning

confidence: 99%

“…Although most of the randomised clinical trials carried out in this area have focused on the internal jugular vein [9-12, 34, 36, 59, 60] and-to a lesser extent-on the subclavian vein [9,41] and the femoral vein [6], it is likely that with growing clinical experience the benefits of ultrasound-guided venipuncture can be extended to all venous access sites.…”

Section: Integration In Clinical Practicementioning

confidence: 99%

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International evidence-based recommendations on ultrasound-guided vascular access

Lamperti¹,

et al. 2012

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Section: Recommendationsmentioning

confidence: 99%

Section: Integration In Clinical Practicementioning

confidence: 99%

International evidence-based recommendations on ultrasound-guided vascular access

Lamperti¹,

et al. 2012

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“…A recent randomized prospective study showed that ultrasound-guided subclavian catheterization was superior to landmark-based insertion, with a higher rate of success (100 vs. 87.5 %), lower rates of postprocedural pneumothorax (0 vs. 4.9 %), and fewer venipunctures [14].…”

Section: Subclavian Veinmentioning

confidence: 99%

“…In 1986, Yonei et al [8] first described the use of real-time, two-dimensional ultrasound for cannulating the same vein. Since then, a number of studies [9][10][11][12][13][14] have demonstrated that real-time ultrasound guidance and, to a slightly lesser extent, ultrasound assistance markedly reduce the mechanical, infectious, and thrombotic complications of the central venous catheterization [15][16][17]. Compared with the conventional blind insertion, ultrasound assistance can also reduce the rates of catheterization failure and incorrect catheter placement, increase the likelihood of success at the first pass, shorten procedure times, and reduce costs.…”

Section: Introductionmentioning

confidence: 99%

“…Most of the published data today refer to ultrasound guidance for catheterization of the internal jugular vein, but recent studies show that this technique can also be useful for accessing to the subclavian vein [14]. Sonographic support also enables the operator to check the position of the catheter tip and identify any complications that may have occurred (e.g., pneumothorax) [20].…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

et al. 2013

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Vascular access used in the treatment of patients involves central and peripheral vein accesses and arterial accesses. Catheterization of central veins is widely used in clinical practice; it is a necessary part of the treatment of patients in various settings. The most commonly involved vessels are the internal jugular, subclavian, and femoral veins. The mechanical, infectious, and thrombotic complications of central venous catheterization are markedly reduced when the procedure is performed with real-time ultrasound guidance or (to a slightly lesser extent) ultrasound assistance. Ultrasound guidance is also used to create peripheral venous accesses, for catheterization of peripheral veins and for peripheral insertion of central venous catheters. In this setting, it increases the catheterization success rate, especially during difficult procedures (e.g., obese patients, children) and reduces complications such as catheter-related infections and venous thrombosis. Arterial cannulation is used for invasive monitoring of arterial pressure and for access during diagnostic or therapeutic procedures. Ultrasound guidance reduces the risk of catheterization failure and complications. It is especially useful for arterial catheterization procedures performed in the absence of a palpable pulse (e.g., patient in shock, ECMO). Imaging support is being used increasingly to facilitate the creation of vascular accesses under difficult conditions, in part because of the growing use of ultrasonography as a bedside procedure. In clinical settings where patients are becoming increasingly vulnerable as a result of advanced age and/or complex disease, the possibility to reduce the risks associated with these invasive procedures should motivate clinicians to acquire the technical skills needed for routine use of sonographic support during vascular access procedures. Keywords Vascular access Á UltrasoundRiassunto Gli accessi vascolari utilizzati nella cura dei pazienti comprendono gli accessi venosi centrali e periferici e gli accessi arteriosi. L'incannulamento di accessi venosi centrali è manovra largamente diffusa nella pratica clinica e si rende necessaria per la cura dei pazienti in molteplici contesti. I vasi centrali che usualmente vengono incannulati sono la vena giugulare interna, la vena succlavia e la vena femorale. Nell'incannulamento venoso centrale sia l'eco-assistenza che l'eco-guida real time, pur con una leggera superiorità di quest'ultima, riducono drasticamente le complicanze meccaniche, infettive e trombotiche. La guida ecografica viene utilizzata anche per l'accesso venoso periferico, per l'incannulamento di vasi periferici e di vasi centrali a inserzione periferica (PICC). In questo contesto la guida ecografica aumenta il successo della manovra di incannulamento soprattutto in condizioni di difficoltà, come avviene nei pazienti obesi o nei bambini, e diminuisce le complicanze quali le infezioni catetere correlate e le trombosi venose. L'incannulamento arterioso viene utilizzato per il monitoraggio cruent...

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Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization

Braß

Hellmich

Kolodziej

et al. 2015

Cochrane Database of Systematic Reviews

207

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On the basis of available data, we conclude that two-dimensional ultrasound offers small gains in safety and quality when compared with an anatomical landmark technique for subclavian (arterial puncture, haematoma formation) or femoral vein (success on the first attempt) cannulation for central vein catheterization. Data on insertion by inexperienced or experienced users, or on patients at high risk for complications, are lacking. The results for Doppler ultrasound techniques versus anatomical landmark techniques are uncertain.

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Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients: A prospective randomized study*

Abstract: The present data suggested that ultrasound-guided cannulation of the subclavian vein in critical care patients is superior to the landmark method and should be the method of choice in these patients.

Cited by 330 publications

References 24 publications

International evidence-based recommendations on ultrasound-guided vascular access

International evidence-based recommendations on ultrasound-guided vascular access

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization

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