Ultrasound-guided central venous catheter placement: first things first

Saugel, Bernd; Schulte‐Uentrop, Leonie; Scheeren, Thomas; Teboul, Jean‐Louis

doi:10.1186/s13054-017-1921-9

Cited by 8 publications

(4 citation statements)

References 5 publications

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“…Ultrasound should also be used to guide thoracentesis, increasing the success rate and reducing the risk of complications, the most common being pneumothorax. Other procedures like arthrocentesis or paracentesis are also recommended to be performed using POCUS [45][46][47]. Increasingly, interventions should not be performed without the use of POCUS if there is an ultrasound machine available.…”

Section: Methodsmentioning

confidence: 99%

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

Torres‐Macho

Aro²,

Bruckner

et al. 2020

European Journal of Internal Medicine

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Section: Methodsmentioning

confidence: 99%

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

Torres‐Macho

Aro²,

Bruckner

et al. 2020

European Journal of Internal Medicine

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“…The catheter size and length was chosen according to the patients' height and weight. Vessel localization, venipuncture, and guidewire insertion was performed according to the recommended 6-step approach [5] and confirmed using US guidance. The B-mode (2D) was primarily used to detect and visualize the presence of the internal jugular vein according to its collapsibility; the colour flow Doppler and/or the pulsed wave Doppler have been additionally applied to confirm the diagnosis and to definitely differentiate between the carotid artery and the internal jugular vein.…”

Section: Details Of Cvc-placementmentioning

confidence: 99%

“…In order to optimize perioperative care by attenuating or preventing possible complications related to CVC's, critical re-evaluation of practice patterns in CVCplacement in children is demanded. High first attempt rates, low procedural times and low complication rates could contribute to a better outcome [4,5] .…”

Section: Introductionmentioning

confidence: 99%

Performing central venous catheters in neonates and small infants undergoing cardiac surgery using a wireless transducer for ultrasound guidance: a prospective, observational pilot study

et al. 2021

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Background Neonates and small infants with congenital cardiac disease undergoing cardiac surgery represent major challenges facing paediatric anaesthesia and perioperative medicine. Aims. We here aimed to investigate the success rates in performing ultrasound (US) guided central venous catheter insertion (CVC) in neonates and small infants undergoing cardiac surgery, and to evaluate the practicability and feasibility of thereby using a novel wireless US transducer (WUST). Methods Thirty neonates and small infants with a maximum body weight of 10 kg and need for CVC before cardiac surgery were included in this observational trial and were subdivided into two groups according to their weight: < 5 kg and ≥ 5 kg. Cannulation success, failure rate, essential procedure related time periods, and complications were recorded and the clinical utility of the WUST was assessed by a 5-point Likert scale. Results In total, CVC-insertion was successful in 27 (90%) of the patients and the first attempt was successful in 24 (78%) of patients. Success rates of CVC were 80% < 5 kg and 100% ≥5 kg. Comparing the two groups we found a clear trend towards longer needle insertion time in patients weighing < 5 kg (33 [28–69] vs. 24 [15–37]s, P = .07), whereas, the total time for catheter insertion and the duration of the whole procedure were similar in both groups (199 [167–228] vs. 178 [138–234] and 720[538–818] vs. 660 [562–833]s. In total, we report 3 (10%) cases of local hematoma as procedure-related complications. Assessments of the WUST revealed very good survey results for all parameters of practicability and handling (all ratings between 4.5 and 5.0). Conclusion Although difficulties in CVC-placement seem to relate to vessel size and patient’s weight, US guided CVC-insertion represents a valuable, fast, and safe intervention in neonates and small children undergoing cardiac surgery. Using the WUST is feasible for this clinical application and may aid in efforts aiming to optimize perioperative care. Trial registration Wireless US-guided CVC placement in infants; Clinicaltrials.gov: NCT04597021; Date of Registration: 21October, 2020; retrospectively registered.

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“…In needle intervention, rapture of the blood vessel may lead to serious complications the worst of which is the death of a patient. To avoid such issues, computer tomography (CT) or ultrasound are commonly used during procedure to image needle movement [4,5]. However, these systems are bulky and reduce the flexibility of intervention.…”

Section: Introductionmentioning

confidence: 99%

Potential of Laser Doppler Flowmetry in the Medical Needle Insertion Procedures

Kravtcova

Zhou

2019

2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)

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Medical needle insertion procedures possess the risk of life-threatening blood vessel rapture. Here we report a compact laser Doppler Flowmetry (LDF) based system that has a potential of blood vessel detection in the vicinity of the moving needle. The developed LDF system comprises two optical fibers inserted into the needle (the probe), a laser unit and a photodetector. The latter collects the signal produced by photons, scattered from the moving red blood cells that is further converted into perfusion value. Using LDF system, we have been able to detect the flow independently from the needle penetration angle, site or depth. Moreover, we showed that the blood vessel can be identified inside the tissue phantom while the probe is moving. Our results demonstrate that the developed LDF system is flexible and compatible with different types of needles and thus has a potential in the needle insertion procedures.

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Ultrasound-guided central venous catheter placement: first things first

Cited by 8 publications

References 5 publications

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

Performing central venous catheters in neonates and small infants undergoing cardiac surgery using a wireless transducer for ultrasound guidance: a prospective, observational pilot study

Potential of Laser Doppler Flowmetry in the Medical Needle Insertion Procedures

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