Ultrasound-guided cannulation of the femoral vein for acute haemodialysis access

Kwon, Taek-Hyun; Kim, Y L; Cho, D K

doi:10.1093/ndt/12.5.1009

Cited by 75 publications

(45 citation statements)

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“…Three were excluded on the grounds that the method of allocation was unclear and the trials were not described as randomised. [19][20][21] Two quasi-randomised trials, which used alternate or sequential designs, were excluded. 22,23 No additional studies were identified from the sponsor submissions.…”

Section: Number Of Studies Identified and Excludedmentioning

confidence: 99%

“…it was not an RCT). 20 The study involved operators who were experienced in the landmark method (but not in the use of 2-D US), working in non-emergency conditions, catheterising 66 patients (28 2-D US versus 38 landmark method) scheduled for acute dialysis. Cannulation of the FV was achieved in all patients (100%) using US and in 34 patients (89.5%) using the landmark-guided technique.…”

Section: Fv (Adults)mentioning

confidence: 99%

See 1 more Smart Citation

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

Calvert

Hind

McWilliams

et al. 2003

Health Technol Assess

101

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Section: Number Of Studies Identified and Excludedmentioning

confidence: 99%

Section: Fv (Adults)mentioning

confidence: 99%

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

Calvert

Hind

McWilliams

et al. 2003

Health Technol Assess

101

View full text Add to dashboard Cite

show abstract

“…In patients who needed acute hemodialysis access, the success rate was 100% under RTUS-guidance, with a higher rate of succesful first attempts as compared to the landmark approach (92.9% versus 55.3%), and a shorter mean total procedure time (45.1±18.8 versus 79.4±61.7 seconds) [23].…”

Section: Technique and Resultsmentioning

confidence: 96%

“…In patients requiring acute hemodialysis access, femoral artery puncture occurred in 7.1% of the cases when using US-guided access, and in 15.8% of the cases when using the landmark approach [23].…”

Section: Risks and Complicationsmentioning

confidence: 99%

US-guided peripheral vascular interventions, comments on the EFSUMB guidelines

Dietrich

Horn²,

Morf

et al. 2016

Med Ultrason

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Peripheral venous as well as arterial punctures have traditionally been performed on the basis of designated anatomical landmarks. However, due to patients' individual anatomy and vessel pathology and depending on individual operators' skill, this landmark approach is associated with a significant failure rate and complication risk. This review comments on the evidence-based recommendations on ultrasound (US)-guided vascular access which have been published recently within the framework of Guidelines on Interventional Ultrasound (INVUS) of the European Federation of Societies for US in Medicine and Biology (EFSUMB) from a clinical practice point of view. Part 1 of the review had its focus on general aspects of USguidance and on central venous access, whereas part 2 refers to peripheral vascular access.

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“…However, studies examining the use of ultrasound on femoral vein access have shown ultrasound to be superior to landmark guided technique. One study showed ultrasound-guided CFV cannulation to have a first stick success rate of 93% compared to 55% in the landmark alone group [7]. In addition, total procedure time was significantly reduced, but time to access was not significantly affected.…”

Section: Introductionmentioning

confidence: 99%

Resident accuracy in locating the common femoral vein in normal weight vs. obese patients

Patterson¹,

Bennett²,

Brewer³

2013

OJCD

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Objectives: Ultrasound guidance increases the success of internal jugular central venous catheter (CVC) placement. The common femoral vein (CFV) is considered an easier site and physicians frequently place CFV CVCs using anatomical landmark guidance. No research has demonstrated the effect of patient weight on placement of a femoral CVC. The authors hypothesized that resident physicians could determine by anatomical landmarks the insertion site of a femoral CVC in normal and overweight adults. Methods: Investigators consented adult patients in the Emergency Department to serve as study models. Patients were grouped by BMI: Normal (BMI < 25) and Overweight (BMI > 25). PGYI-III Emergency Medicine residents who volunteered to participate were included. Residents inspected and palpated the inguinal regions on a patient and marked the patient's skin directly over the CFV. A faculty member assessed success using a 10 MHz linear probe (Sonosite Micro Maxx) centered over the mark. The attempt was successful if the mark was directly over the CFV and unsuccessful if distal, lateral, or medial to the CFV. Results: Nineteen residents (6 PGYI, 7 PGY II, and 6 PGYIII) assessed 17 patients. There were 43 attempts on Normal patients and 57 attempts on Overweight patients. The success rate on Normal patients was 74% and on Overweight patients was 42% (p = 0.0021). Conclusion: Residents were more successful in correctly identifying the CFV by anatomical landmarks in Normal patients. Training year had no effect on success. Ultrasound guidance may increase the success rate of placing a femoral CVC in patients with BMI > 25.

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Ultrasound-guided cannulation of the femoral vein for acute haemodialysis access

Abstract: Ultrasound-guided cannulation of the femoral vein reduces the time required for the procedure, reduces the number of passes needed to puncture the vein, and minimizes complications such as arterial puncture or haematoma.

Cited by 75 publications

References 0 publications

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

US-guided peripheral vascular interventions, comments on the EFSUMB guidelines

Resident accuracy in locating the common femoral vein in normal weight vs. obese patients

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