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Critical Care
Published in: Critical Care 1/2017

Open Access 01-12-2017 | Letter

Necessary additional steps in ultrasound guided central venous catheter placement: getting to the heart of the matter

Authors: Thei S. Steenvoorden, Jasper M. Smit, Mark E. Haaksma, Pieter R. Tuinman

Published in: Critical Care | Issue 1/2017

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Excerpt

With great interest we read the recent article on ultrasound (US)-guided central venous catheter (CVC) placement by Saugel et al. [1] and we completely agree with the authors on the importance of US guidance in CVC placement. However, we do believe that their protocol is incomplete. The authors’ recommendations rely solely on wire, needle, and CVC position confirmation in the entry vein, which does not provide the physician with information regarding correct CVC position or placement-associated complications. …
Literature
1.
Saugel B, et al. Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Crit Care. 2017;21(1):225.CrossRefPubMedPubMedCentral
2.
Bedel J, et al. Guidewire localization by transthoracic echocardiography during central venous catheter insertion: a periprocedural method to evaluate catheter placement. Intensive Care Med. 2013;39(11):1932–7.
3.
Ramiro Arellano M, et al. The utility of transthoracic echocardiography to confirm central line placement: an observational study. Can J Anaesth. 2014;61(4):340–6.CrossRefPubMed
4.
Miccini M, et al. Ultrasound-guided placement of central venous port systems via the right internal jugular vein: are chest X-ray and/or fluoroscopy needed to confirm the correct placement of the device? World J Surg. 2016;40(10):2353–8.CrossRefPubMed
5.
Alrajab S, et al. Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis. Crit Care. 2013;17(5):R208.CrossRefPubMedPubMedCentral
Metadata
Title
Necessary additional steps in ultrasound guided central venous catheter placement: getting to the heart of the matter
Authors
Thei S. Steenvoorden
Jasper M. Smit
Mark E. Haaksma
Pieter R. Tuinman
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2017
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-017-1900-1

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