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Critical Care
Published in: Critical Care 1/2018

Open Access 01-12-2018 | Letter

Longing for better ultrasound-guided subclavian/axillary venous cannulation

Author: Gentle Sunder Shrestha

Published in: Critical Care | Issue 1/2018

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Excerpt

Ultrasound guidance for central venous catheter (CVC) placement reduces complications, increases safety and enhances the quality of the procedure [1]. Existing guidelines suggest a higher level of evidence for ultrasound-guided internal jugular venous cannulation compared with the subclavian/axillary route [2]. Meta-analysis of trials studying the use of ultrasound guidance for subclavian venous cannulation, when compared with the landmark technique, showed decreased incidence of arterial puncture and hematoma formation, but there was no overall difference in complications and success rates [3]. …
Literature
1.
Saugel B, Scheeren TWL, Teboul JL. Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Crit Care. 2017;21:225.CrossRefPubMedPubMedCentral
2.
Frankel HL, Kirkpatrick AW, Elbarbary M, et al. Guidelines for the appropriate use of bedside general and cardiac ultrasonography in the evaluation of critically ill patients – part I: general ultrasonography. Crit Care Med. 2015;43:2479–502.CrossRefPubMed
3.
Brass P, Hellmich M, Kolodziej L, Schick G, Smith AF. Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization. Cochrane Database Syst Rev. 2015;1:CD011447.PubMed
4.
Ahn JH, Kim IS, Shin KM, et al. Influence of arm position on catheter placement during real-time ultrasound-guided right infraclavicular proximal axillary venous catheterization. Br J Anaesth. 2016;116:363–9.CrossRefPubMed
5.
Sadek M, Roger C, Bastide S, et al. The influence of arm positioning on ultrasonic visualization of the subclavian vein: an anatomical ultrasound study in healthy volunteers. Anesth Analg. 2016;123:129–32.CrossRefPubMed
Metadata
Title
Longing for better ultrasound-guided subclavian/axillary venous cannulation
Author
Gentle Sunder Shrestha
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2018
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-018-2075-0

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