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Published in: Intensive Care Medicine 2/2010

01-02-2010 | Review

Ultrasound-guided arterial catheterization: a narrative review

Authors: Ariel L. Shiloh, Lewis A. Eisen

Published in: Intensive Care Medicine | Issue 2/2010

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Abstract

Arterial catheterization is the second most common invasive procedure performed in the intensive care unit. Despite the ubiquity of the procedure, complications including failure to place the catheter occur. While many clinicians are familiar with the use of ultrasound (US) guidance to decrease complication rates of central venous catheter insertion, fewer are familiar with the use of ultrasound to guide arterial catheterization. This manuscript reviews the evidence for the utility of ultrasound for this indication. Technical aspects of the procedure and limitations of the existing evidence are reviewed. A description of the procedure is provided, along with an online supplemental video. Most studies indicate that first-pass success will be improved with US-guided (USG) arterial catheterization. The technique is easy to learn, particularly if one is already familiar with USG for central venous catheter placement. More research, including formal analyses of cost effectiveness, is needed.
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Metadata
Title
Ultrasound-guided arterial catheterization: a narrative review
Authors
Ariel L. Shiloh
Lewis A. Eisen
Publication date
01-02-2010
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 2/2010
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-009-1699-6

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