2013
DOI: 10.1093/bja/aes381
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Three-step method for ultrasound-guided central vein catheterization

Abstract: This three-step method is not dependent on an operator's ability to proceed based on spatial awareness, but rather depends on logic. This method can prevent difficulties associated with a two-dimensional ultrasound view, and may be a safer technique compared with others. Further clinical trials are needed to establish the safety of this technique.

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Cited by 50 publications
(32 citation statements)
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“…5 In addition, successful central venous catheterisation under ultrasound guidance reaches 100% within three vein punctures. 6 Here, we show that CVC placement guided by ultrasound can identify a latent venous abnormality and possibly avoid thrombus embolisation. We therefore recommend ultrasound assessment and guidance for CVC repositioning for safe CVC placement.…”
mentioning
confidence: 72%
“…5 In addition, successful central venous catheterisation under ultrasound guidance reaches 100% within three vein punctures. 6 Here, we show that CVC placement guided by ultrasound can identify a latent venous abnormality and possibly avoid thrombus embolisation. We therefore recommend ultrasound assessment and guidance for CVC repositioning for safe CVC placement.…”
mentioning
confidence: 72%
“…first attempts, changes of operator or time limitations. Varying success rates among ultrasound-guided subclavian vein catheterisations have been reported (92% on the first and 100% on the third attempt [11]; 92% [3]; 96% [19]; 99.5% [20]; 100% [2]). In the present study, success was defined as catheter placement in the first examined site.…”
Section: Discussionmentioning
confidence: 99%
“…In participants allocated to the needle group and in whom the landmark method was used, the skin was punctured with a sharp, hollow, thin-walled standard 18G access needle (Fig. When an ultrasound-guided approach was used, the technique was performed in real-time using a SonoSite S-nerve (S-nerve TM ; Sonosite, Bothell, WA, USA) equipped with a high-resolution 7.5-mHz transducer, which was covered with sterile ultrasonic gel and wrapped in a sterile sheath as in previous studies [11,12]. The needle, with the bevel facing up, was directed and advanced towards the suprasternal notch.…”
Section: Methodsmentioning
confidence: 99%
“…If pulsatile blood flow and/or an arterial pressure waveform was observed, the needle was removed and the puncture site was compressed for 5 min. When an ultrasound-guided approach was used, the technique was performed in real-time using a SonoSite S-nerve (S-nerve TM ; Sonosite, Bothell, WA, USA) equipped with a high-resolution 7.5-mHz transducer, which was covered with sterile ultrasonic gel and wrapped in a sterile sheath as in previous studies [11,12]. The short-axis view with the colour Doppler technique was first used to identify the subclavian vein, after which the ultrasound transducer was rotated at a 90°angle.…”
Section: Methodsmentioning
confidence: 99%