The utility of transthoracic echocardiography to confirm central line placement: An observational study

Arellano, Ramiro; Nurmohamed, Aliya; Rumman, Amir; Day, Andrew G.; Milne, Brian; Phelan, Rachel; Tanzola, Robert

doi:10.1007/s12630-014-0111-3

Cited by 24 publications

(23 citation statements)

References 23 publications

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“…Other novel tests include- fluoroscopy, chest radiography with simultaneous injection of contrast, and trans-esophageal echocardiography (TEE) to identify guidewire in the right atrium. [ 12 ]…”

Section: Discussionmentioning

confidence: 99%

Confirmation of endovenous placement of central catheter using the ultrasonographic \"bubble test\"

Baviskar

Khatib

Bhoi

et al. 2015

Indian Journal of Critical Care Medicine

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Insertion of central venous catheter (CVC) is the most common procedure to be performed in Intensive Care Units. Addition of ultrasonographic guidance to this procedure, which was initially performed blindly, has improved safety of this procedure. Confirmation of endovenous placement of CVC though, is tricky, as methods for confirmation are either operator dependent, time-consuming or not available at bedside. Prospective observational study was carried out to study feasibility of use of sonobubble test to confirm the presence of CVC within central vein. After insertion of CVC in the internal jugular, subclavian or axillary vein, a 10 ml bolus of shaken saline microbubble is injected through port of CVC, and opacification of right atrium is observed in xiphoid view on ultrasonography. The Sonobubble test was helpful for dynamic confirmation of endovenous placement of CVC and prevented complications such as arterial puncture and cannulation. We recommend its use following CVC insertion.

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Section: Discussionmentioning

confidence: 99%

Confirmation of endovenous placement of central catheter using the ultrasonographic \"bubble test\"

Baviskar

Khatib

Bhoi

et al. 2015

Indian Journal of Critical Care Medicine

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“…In a similar fashion, Arellano et al 5 reported the utility of transthoracic echocardiography (TTE) for confirming the location of the guidewire in the RA before dilation and cannulation of the IJV. Nevertheless, the disadvantage of using TTE for guidewire confirmation is the need for sterile preparation of another ultrasound probe, expertise to perform TTE, and additional time to complete the procedure.…”

Section: To the Editormentioning

confidence: 91%

Ultrasound-guided internal jugular vein cannulation: a novel technique for confirming that the guidewire is directed towards the right atrium

Maheshwari

2015

Can J Anesth/J Can Anesth

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“…214,215 Observational studies also demonstrate that transthoracic ultrasound can confirm residence of the guidewire in the venous system (Category B3-B evidence). [216][217][218][219] One observational study indicates that transesophageal echocardiography can be used to identify guidewire position (Category B3-B evidence), 220 and case reports document similar findings (Category B4-B evidence). 221,222 Observational studies indicate that transthoracic ultrasound can confirm correct catheter tip position (Category B2-B evidence).…”

Section: Catheter Maintenancementioning

confidence: 95%

Practice Guidelines for Central Venous Access 2020

2020

Anesthesiology

149

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These practice guidelines update the Practice Guidelines for Central Venous Access: A Report by the American Society of Anesthesiologists Task Force on Central Venous Access, adopted by the American Society of Anesthesiologists in 2011 and published in 2012. These updated guidelines are intended for use by anesthesiologists and individuals under the supervision of an anesthesiologist and may also serve as a resource for other physicians, nurses, or healthcare providers who manage patients with central venous catheters. Supplemental Digital Content is available in the text.

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The utility of transthoracic echocardiography to confirm central line placement: An observational study

Abstract: Transthoracic echocardiography [corrected] is a feasible, noninvasive, and potentially useful method to confirm appropriate placement of the guidewire before dilation and cannulation of the IJV.

Cited by 24 publications

References 23 publications

Confirmation of endovenous placement of central catheter using the ultrasonographic \"bubble test\"

Confirmation of endovenous placement of central catheter using the ultrasonographic \"bubble test\"

Ultrasound-guided internal jugular vein cannulation: a novel technique for confirming that the guidewire is directed towards the right atrium

Practice Guidelines for Central Venous Access 2020

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